Individual
JULIANA ESCOBAR RESTREPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2504 SAND MINE RD, DAVENPORT, FL 33897-3402
(863) 419-7645
Mailing address
PO BOX 1020, DAVENPORT, FL 33836-1020
(718) 219-3356
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PA9112759
FL
Other
Enumeration date
10/11/2019
Last updated
01/18/2022
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