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Individual

JULIUS E DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, RN

Contact information

Practice address
3050 PICKFORD PL, PENSACOLA, FL 32503-4361
(850) 261-3757
Mailing address
3050 PICKFORD PL, PENSACOLA, FL 32503-4361
(850) 261-3757

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9327458
FL
225700000X
Massage Therapist
Primary
MA27732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C8745
BLUE SHIELD OF FLORIDA
FL
Enumeration date
07/25/2006
Last updated
07/12/2011
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