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NPI Code Detail

MEDICARE: MS. JULIE CHRISTINE SACERDOTE PA-C

MEDICARE: MS. JULIE CHRISTINE SACERDOTE PA-C
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
1363A00000XPhysician AssistantPA9111250FL

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 : 1871085571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE CHRISTINE SACERDOTE PA-C
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-1355
Fax Number : 813-635-2613
Provider Business Practice Location Address
First Line : 2727 W DR MARTIN LUTHER KING JR BLVD STE 460
Second Line :
City : TAMPA
State : FL
Zip : 33607-6001
Country : US
Telephone Number : 813-879-4328
Fax Number : 813-443-8152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2018
Last Update Date : 07/08/2022

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Directions to “ MS. JULIE CHRISTINE SACERDOTE PA-C” Practice Location

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