Individual
JULIE FREDERICKSON FORERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
LARKIN COMMUNITY HOSPITAL, 7031 SW 62 AVENUE, SOUTH MIAMI, FL 33143
(305) 284-7761
Mailing address
3065 W SOUTHLAKE BLVD, STE 140, SOUTHLAKE, TX 76092-6730
(817) 380-5911
(817) 380-5911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS 12140
FL
Other
Enumeration date
06/28/2011
Last updated
07/12/2016
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