Individual
MRS. JULIE DEANNA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 292-4652
Mailing address
PO BOX 322, POLK CITY, FL 33868-0322
(863) 874-4145
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2740302
FL
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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