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NPI Code Detail

MEDICARE: JULIE CHORLEY PA

MEDICARE: JULIE CHORLEY PA
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 AssistantPA9107887FL

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 : 1902216716
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE CHORLEY PA
Provider Business Mailing Address
First Line : 367 S. GULPH RD
Second Line : ATTN: IPM CREDENTIALING
City : KING OF PRUSSIA
State : PA
Zip : 19406-3121
Country : US
Telephone Number : 941-254-4957
Fax Number :
Provider Business Practice Location Address
First Line : 714 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1235
Country : US
Telephone Number : 941-254-4957
Fax Number : 941-254-4958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2014
Last Update Date : 05/15/2026

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Directions to “ JULIE CHORLEY PA” Practice Location

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