Individual
JULIE KNOX AVIZINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0224
(352) 265-4845
Mailing address
PO BOX 100224, GAINESVILLE, FL 32610-0224
(352) 273-5357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9110452
FL
363A00000X
Physician Assistant
Primary
PA9110452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021664700
—
FL
01
—
JB586Y
MEDICARE
FL
Enumeration date
07/11/2017
Last updated
07/21/2022
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