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NPI Code Detail

MEDICARE: TINA JULES, PA

MEDICARE: TINA JULES, PA
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
1103T00000XPsychologistPY7797FL

General Provider Information

NPI Number : 1659666733
Entity Type Code : Organization
Provider Name (Legal Business Name) : TINA JULES, PA
Provider Business Mailing Address
First Line : 1628 SALERNO CIR
Second Line :
City : WESTON
State : FL
Zip : 33327-1904
Country : US
Telephone Number : 954-857-7360
Fax Number :
Provider Business Practice Location Address
First Line : 1825 FOREST HILL BLVD STE 103
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-6058
Country : US
Telephone Number : 954-857-7360
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. TINA JULES
Credential : PSY.D.
Telephone Number : 954-857-7360
Provider Enumeration Date : 06/16/2011
Last Update Date : 06/16/2011

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Directions to “TINA JULES, PA ” Practice Location

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