Individual
MRS. JENYCCE MONTANEZ DE JULIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2414 E SUNRISE BLVD # 2140A, FT LAUDERDALE, FL 33304-3102
(954) 561-6244
Mailing address
2755 NW 115TH TER, CORAL SPRINGS, FL 33065-3435
(305) 525-9489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111948
FL
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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