1366430712 NPI number — MS. JULIA N STANPHILL-FLODIN A.R.N.P.

Table of content: MS. JULIA N STANPHILL-FLODIN A.R.N.P. (NPI 1366430712)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366430712 NPI number — MS. JULIA N STANPHILL-FLODIN A.R.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STANPHILL-FLODIN
Provider First Name:
JULIA
Provider Middle Name:
N
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
A.R.N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STANPHILL
Provider Other First Name:
JULIE
Provider Other Middle Name:
NINA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
A.R.N.P.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1366430712
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2237 TWELVE OAKS WAY
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
WESLEY CHAPEL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33544-6983
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-973-1304
Provider Business Mailing Address Fax Number:
813-355-5024

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2237 TWELVE OAKS WAY
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
WESLEY CHAPEL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33544-6983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-973-1304
Provider Business Practice Location Address Fax Number:
813-355-5024
Provider Enumeration Date:
10/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0808X , with the licence number:  ARNP 2633782 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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