Juliana S. Dale Do Pa | |
250 2nd St E Ste 3b Bradenton FL 34208-1027 | |
(561) 909-7452 | |
Not Available |
Full Name | Juliana S. Dale Do Pa |
---|---|
Speciality | Clinic/Center |
Location | 250 2nd St E Ste 3b, Bradenton, Florida |
Authorized Official Name and Position | Juliana Santiago Dale (PRESIDENT) |
Authorized Official Contact | 9412530030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Juliana S. Dale Do Pa 250 2nd St E Ste 3b Bradenton FL 34208-1027 Ph: (941) 253-0030 | Juliana S. Dale Do Pa 250 2nd St E Ste 3b Bradenton FL 34208-1027 Ph: (561) 909-7452 |
NPI Number | 1336754035 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 07/08/2022 |
Medicare PECOS PAC ID | 1052739364 |
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Medicare Enrollment ID | O20200918001354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336754035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Juliana Dale` |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801327572 PECOS PAC ID: 8022436336 Enrollment ID: I20200918001516 |
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