Individual
ANA JULIA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6919 N DALE MABRY HWY STE 320, TAMPA, FL 33614-3972
(813) 915-5555
(813) 931-7508
Mailing address
6919 N DALE MABRY HWY STE 320, TAMPA, FL 33614-3972
(813) 915-5555
(813) 931-7508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103699
FL
363AM0700X
Medical Physician Assistant
PA9103699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153829701
—
FL
Enumeration date
03/14/2007
Last updated
09/17/2024
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