Individual
DR. JULIE ANN MARIE VAN KOUGHNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1494 SPRINGSIDE DR, WESTON, FL 33326-2742
(519) 859-7899
Mailing address
1494 SPRINGSIDE DR, WESTON, FL 33326-2742
(519) 859-7899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRN17127
FL
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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