MEDICARE: MRS. JULIET NEELY SIDES LMT

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	174400000X	Specialist	MA48979	FL

General Provider Information

NPI Number	:	1811048341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIET NEELY SIDES LMT

Provider Business Mailing Address
First Line	:	13911 LAKESHORE BLVD UNIT 102
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7102
Country	:	US
Telephone Number	:	727-869-3803
Fax Number	:	727-869-9126

Provider Business Practice Location Address
First Line	:	13911 LAKESHORE BLVD UNIT 102
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7102
Country	:	US
Telephone Number	:	727-869-3803
Fax Number	:	727-869-9126

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1801033550 — MARINA V KULICK M.D.,MPH
Practice Location Address:

13911 LAKESHORE BLVD STE 107
HUDSON, FL
34667-7102

Practice Phone: 727-862-0569
Practice Fax: 727-862-0658

1437182524 — DR. HARISH M. MADNANI M.D.
Practice Location Address:

13911 LAKESHORE BLVD , #111
HUDSON, FL
34667-7102

Practice Phone: 727-869-8800
Practice Fax: 727-869-8814

1114078649 — MEDICAL MASSAGE & THERAPY INC.
Practice Location Address:

13911 LAKESHORE BLVD UNIT 102
HUDSON, FL
34667-7102

Practice Phone: 727-869-3803
Practice Fax: 727-869-9126

1114078961 — MR. TIMOTHY RAY WALENDZIK LMT
Practice Location Address:

13911 LAKESHORE BLVD , UNIT 102
HUDSON, FL
34667-7102

Practice Phone: 727-869-3803
Practice Fax:

1063631133 — NATURE COAST NEUROSUGERY INC
Practice Location Address:

13911 LAKESHORE BLVD
HUDSON, FL
34667-7102

Practice Phone: 727-862-1234
Practice Fax: 727-862-1616

1447493077 — MS. TAMBERLY HOPE SEGERT BCBA
Practice Location Address:

13911 LAKESHORE BLVD STE 103
HUDSON, FL
34667-7102

Practice Phone: 727-967-2809
Practice Fax:

Directions to “ MRS. JULIET NEELY SIDES LMT” 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.