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Individual

MS. JULIE CHRISTINE SACERDOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 460, TAMPA, FL 33607-6001
(813) 879-4328
(813) 443-8152
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111250
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106683600
FL
Enumeration date
05/30/2018
Last updated
07/08/2022
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