MEDICARE: DR. JUANA MARIA JULIEN 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
1	207N00000X	Dermatology Physician	ME0055305	FL
2	207ND0900X	Dermatopathology Physician	ME0055305	FL
3	207NI0002X	Clinical & Laboratory Dermatological Immunology Physician	ME0055305	FL
4	207NP0225X	Pediatric Dermatology Physician	ME0055305	FL
5	207NS0135X	Procedural Dermatology Physician	ME0055305	FL

General Provider Information

NPI Number	:	1821094426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUANA MARIA JULIEN M.D.

Provider Business Mailing Address
First Line	:	8950 SW 74TH CT
Second Line	:	SUITE 1408
City	:	MIAMI
State	:	FL
Zip	:	33156-3171
Country	:	US
Telephone Number	:	305-274-7878
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 SW 74TH CT
Second Line	:	SUITE 1408
City	:	MIAMI
State	:	FL
Zip	:	33156-3171
Country	:	US
Telephone Number	:	305-274-7878
Fax Number	:

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	03/05/2012

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