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NPI Code Detail

MEDICARE: JULIE PALMER AP

MEDICARE:   JULIE  PALMER  AP
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
1171100000XAcupuncturist3391FL

General Provider Information

NPI Number : 1639595366
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE PALMER AP
Provider Business Mailing Address
First Line : 12443 SAN JOSE BLVD
Second Line : SUITE #303
City : JACKSONVILLE
State : FL
Zip : 32223-8646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12443 SAN JOSE BLVD
Second Line : SUITE #303
City : JACKSONVILLE
State : FL
Zip : 32223-8646
Country : US
Telephone Number : 904-337-9393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2014
Last Update Date : 03/05/2014

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Directions to “ JULIE PALMER AP” Practice Location

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