Individual
MRS. JULIE BOM CONSELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
775 W GRANADA BLVD STE 102, ORMOND BEACH, FL 32174-5109
(386) 425-4480
(386) 425-4481
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-0141
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9214016
FL
Other
Enumeration date
09/16/2016
Last updated
08/26/2019
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