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Individual
DR. JULIE BRADDY-ROBERTS
Active
Individual
DR. JULIE BRADDY-ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME104623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002584700
—
FL
05
—
003132895A
—
GA
01
—
202I083584
MEDICARE
—
01
—
52609601001
BCBS/GA
GA
01
—
581719867058
TRICARE
—
01
—
P00874198
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
01/20/2010
Last updated
02/20/2026
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