Individual
JULIE MARIE NISBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
704 COULTER PL, BRANDON, FL 33511-6017
(813) 972-2000
(813) 910-4036
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3638
FL
363AS0400X
Surgical Physician Assistant
PA 3638
FL
Other
Enumeration date
02/23/2006
Last updated
02/09/2009
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