DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JULIE BREEDLOVE

MEDICARE: JULIE BREEDLOVE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1467840686
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE BREEDLOVE
Provider Business Mailing Address
First Line : 1060 BECKINGHAM DR
Second Line :
City : SAINT AUGUSTINE
State : FL
Zip : 32092-5042
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1212 13TH ST N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3682
Country : US
Telephone Number : 727-741-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2014
Last Update Date : 12/23/2014

Similar Medicare Providers

1639597495 — GESSICA VILMA BURNS
Practice Location Address:
1212 13TH ST N
JACKSONVILLE BEACH, FL
32250-3682
Practice Phone: 727-741-3405
Practice Fax:
1851703714 — MRS. KRISTIN WOYAK M.ED., CCC-SLP
Practice Location Address:
1212 13TH ST N
JACKSONVILLE BEACH, FL
32250-3682
Practice Phone: 727-741-3405
Practice Fax:
1871902486 — REGINA KAUFMAN M.A.
Practice Location Address:
1212 13TH ST N
JACKSONVILLE BEACH, FL
32250-3682
Practice Phone: 727-741-4305
Practice Fax: 904-306-7826
1487050530 — MRS. TRACY SIEBER
Practice Location Address:
1212 13TH ST N
JACKSONVILLE BEACH, FL
32250-3682
Practice Phone: 727-741-3405
Practice Fax:
1043609589 — WYVETTE PARKER
Practice Location Address:
1212 13TH ST N
JACKSONVILLE BEACH, FL
32250-3682
Practice Phone: 727-741-3405
Practice Fax:
1629447842 — STEPHANIE SANFORD
Practice Location Address:
1212 13TH ST N
JACKSONVILLE BEACH, FL
32250-3682
Practice Phone: 727-741-3405
Practice Fax:

Directions to “ JULIE BREEDLOVE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.