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Individual

JULIE AVESCAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2020 TALLY RD, LEESBURG, FL 34748-3426
(352) 315-7800
Mailing address
6719 CORAL BERRY DR, MOUNT DORA, FL 32757-7457
(863) 529-2118

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9496129
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11039761
FL

Other

Enumeration date
02/12/2020
Last updated
06/25/2025
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