Individual
MRS. JULIE FALLON MORENO FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 NW 13TH ST FL 3, BOCA RATON, FL 33486-2305
(561) 955-5790
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9109737
FL
Other
Enumeration date
08/10/2016
Last updated
11/29/2022
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