Individual
JULIE A BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.A.P.
Contact information
Practice address
5270 PALM VALLEY RD, PONTE VEDRA BEACH, FL 32082-3200
(904) 543-1288
(904) 543-1289
Mailing address
5270 PALM VALLEY RD, PONTE VEDRA BEACH, FL 32082-3200
(904) 543-1288
(904) 543-1289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
057441
GA
208000000X
Pediatrics Physician
Primary
ME65677
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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