Individual
JULIE MARIE LINCICOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-8000
Mailing address
961 GANNET AVE NW, PALM BAY, FL 32907-9437
(321) 409-5517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202250
SC
163WE0003X
Emergency Registered Nurse
Primary
RN9216788
FL
Other
Enumeration date
04/24/2010
Last updated
04/24/2010
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