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Individual

JULIA C. PALLENTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2457 CARE DR, SUITE D 100, TALLAHASSEE, FL 32308-3501
(850) 841-1166
(850) 942-5466
Mailing address
2457 CARE DR, SUITE D 100, TALLAHASSEE, FL 32308-3501
(850) 841-1166
(850) 942-5466

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 579352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99039
GROUP MEDICARE #
FL
01
CK0297
GROUP RR MEDICARE #
FL
Enumeration date
10/14/2005
Last updated
12/13/2007
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