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Individual

DR. JULLIUS I ANCHETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
517 RIVIERA ST, SUITE A, VENICE, FL 34285-2827
(941) 412-1208
(941) 412-1248
Mailing address
517 RIVIERA ST., SUITE A, VENICE, FL 34285
(941) 412-1208
(941) 412-1248

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME80512
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264553000
FL
Enumeration date
08/28/2006
Last updated
06/09/2011
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