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Individual

DR. TERRENCE D JULIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 460, TAMPA, FL 33607
(813) 879-4328
(813) 443-8152
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD423347
PA
2084N0400X
Neurology Physician
Primary
ME140304
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101918191
PA
05
104552400
FL
Enumeration date
10/04/2006
Last updated
12/11/2019
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