Niebauer, Julia Mercer

Niebauer, Julia Mercer is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd Fl 1 , Tampa FL 33607-6307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Niebauer, Julia Mercer can be contacted via phone (813) 870-4619.

Contact Information

Primary practice address
3001 W Dr Martin Luther King Jr Blvd Fl 1 Tampa FL 33607-6307
Phone: (813) 870-4619
Fax: (813) 554-8557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD28248 Alabama
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME109535 Florida

Profile Details

NPI number 1740452150
LBN Legal business name Niebauer, Julia Mercer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2008
Last updated Feb 10th, 2021 - about 5 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 1740452150 NPPES
Florida MEDICAID 003627300

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