MEDICARE: JULIA M DOODNATH HHA.CNA,PCT

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	374U00000X	Home Health Aide	CNA302759	FL

General Provider Information

NPI Number	:	1720761042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA M DOODNATH HHA.CNA,PCT

Provider Business Mailing Address
First Line	:	3420 PORTERSFIELD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-2852
Country	:	US
Telephone Number	:	407-666-6513
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 PORTERSFIELD RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-2852
Country	:	US
Telephone Number	:	407-666-6513
Fax Number	:

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

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	08/25/2023

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