Individual
DR. JULIA MERCER NIEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 1, TAMPA, FL 33607-6307
(813) 870-4619
(813) 554-8557
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
MD28248
AL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME109535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003627300
—
FL
Enumeration date
03/25/2008
Last updated
02/10/2021
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