Individual
JULIE B CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
603 NORTH WASHINGTON AVE, SUITE 101, TITUSVILLE, FL 32796
(321) 268-5008
(321) 607-6690
Mailing address
831 SIMPSON ROAD, KISSIMMEE, FL 34744
(407) 200-2300
(407) 200-1365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3052252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307211800
—
FL
Enumeration date
08/04/2006
Last updated
03/11/2016
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