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NPI Code Detail

MEDICARE: JULIA JONES

MEDICARE:   JULIA  JONES
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1861238305
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA JONES
Provider Business Mailing Address
First Line : 3253 SW 121ST WAY
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-0225
Country : US
Telephone Number : 727-457-1240
Fax Number :
Provider Business Practice Location Address
First Line : 3253 SW 121ST WAY
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-0225
Country : US
Telephone Number : 727-457-1240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2024
Last Update Date : 07/03/2024

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Directions to “ JULIA JONES ” Practice Location

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