Basic Information
Provider Information
NPI: 1477038503
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARAM
FirstName: JULIANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7400 DOCS GROVE CIR
Address2:  
City: ORLANDO
State: FL
PostalCode: 328198010
CountryCode: US
TelephoneNumber: 4073529717
FaxNumber:  
Practice Location
Address1: 7400 DOCS GROVE CIR
Address2:  
City: ORLANDO
State: FL
PostalCode: 328198010
CountryCode: US
TelephoneNumber: 4073529717
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/25/2018
LastUpdateDate: 09/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X9349030FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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