Individual
JULIE CLIFT GREENWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 PALM AVE STE 100, JACKSONVILLE, FL 32207-8457
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME126703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017358600
—
FL
01
—
P01664585
RR MEDICARE
FL
Enumeration date
05/12/2011
Last updated
01/16/2026
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