Individual
DR. JULIA ROSE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC MPAS PA-C
Contact information
Practice address
1514 W 23RD ST, PANAMA CITY, FL 32405-2905
(850) 481-1101
Mailing address
1514 W 23RD ST, PANAMA CITY, FL 32405-2905
(850) 481-1101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13242146-1206
STATE LICENSE
UT
01
—
ITRPA-1021
STATE LICENSE - TELEHEATH
WV
01
—
PA.0007787
STATE LICENSE
CO
01
—
PA.61406579
STATE LICENSE
WA
01
—
PA9110651
STATE LICENSE
FL
Enumeration date
08/25/2017
Last updated
03/02/2023
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