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NPI Code Detail

MEDICARE: JULIANNA L PADRON B.S.

MEDICARE: JULIANNA L PADRON B.S.
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1932436060
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNA L PADRON B.S.
Provider Business Mailing Address
First Line : 3157 N ALAFAYA TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32826-2940
Country : US
Telephone Number : 407-215-0095
Fax Number : 407-261-0523
Provider Business Practice Location Address
First Line : 3157 N ALAFAYA TRL
Second Line :
City : ORLANDO
State : FL
Zip : 32826-2940
Country : US
Telephone Number : 407-215-0095
Fax Number : 407-261-0523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 10/07/2014

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