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NPI Code Detail

MEDICARE: DR. CLINTON JULES M.D.

MEDICARE:  DR. CLINTON  JULES  M.D.
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
1174400000XSpecialistME81680FL
2207R00000XInternal Medicine PhysicianME81680FL
3208D00000XGeneral Practice PhysicianME81680FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811923352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLINTON JULES M.D.
Provider Business Mailing Address
First Line : 3075 NW 35TH AVE
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1107
Country : US
Telephone Number : 954-739-6233
Fax Number : 954-739-2549
Provider Business Practice Location Address
First Line : 3075 NW 35TH AVE
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1107
Country : US
Telephone Number : 954-739-6233
Fax Number : 954-739-2549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 05/23/2023

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Directions to “ DR. CLINTON JULES M.D.” Practice Location

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