MEDICARE: JULIE CADET-PLASSMAN

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	155257	FL

General Provider Information

NPI Number	:	1528621182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE CADET-PLASSMAN

Provider Business Mailing Address
First Line	:	620 NE 128TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4829
Country	:	US
Telephone Number	:	305-640-5611
Fax Number	:	786-360-2048

Provider Business Practice Location Address
First Line	:	620 NE 128TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4829
Country	:	US
Telephone Number	:	305-640-5611
Fax Number	:	786-360-2048

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2019
Last Update Date	:	01/05/2023

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Directions to “ JULIE CADET-PLASSMAN ” Practice Location

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