Individual
JULIA JEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 PONCE DE LEON BLVD, MIAMI, FL 33135-1033
(305) 444-2939
(305) 444-2966
Mailing address
115 PONCE DE LEON BLVD, MIAMI, FL 33135-1033
(305) 444-2939
(305) 444-2966
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MM 26039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM 26039
STATE LICENSE
FL
Enumeration date
01/24/2011
Last updated
01/24/2011
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