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Individual

JULIE WIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 N MILLS AVE, ORLANDO, FL 32803-1444
(407) 894-4880
Mailing address
4745 RIVER GEM AVE, WINDERMERE, FL 34786-3176
(407) 617-1177

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9107571
FL
363AM0700X
Medical Physician Assistant
Primary
PA9107571
FL

Other

Enumeration date
10/15/2013
Last updated
11/04/2025
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