Canada, Julie B

Canada, Julie B is an sole proprietor health care provider with primary practice located at 603 North Washington Ave Suite 101, Titusville FL 32796. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Canada, Julie B can be contacted via phone (321) 268-5008.

Contact Information

Primary practice address
603 North Washington Ave Suite 101 Titusville FL 32796
Phone: (321) 268-5008
Fax: (321) 607-6690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3052252 Florida

Profile Details

NPI number 1396753042
LBN Legal business name Canada, Julie B
Credentials ARNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Mar 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396753042 NPPES
Florida MEDICAID 307211800

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