# JI UNIVERSAL MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811518111
- **Authorized official:** JULIE IGILAR DNP APRN FNP-C (OWNER)
- **Authorized official phone:** (813) 577-2622

## Contact information

- **Practice address:** 8903 REGENTS PARK DR STE 120, TAMPA, FL 33647-3083
- **Practice address phone:** (813) 577-2622
- **Practice address fax:** (813) 354-2670
- **Mailing address:** 8903 REGENTS PARK DR STE 120, TAMPA, FL 33647-3083
- **Mailing address phone:** (813) 577-2622
- **Mailing address fax:** (813) 354-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2020
- **Last updated:** 11/03/2020