Individual
JULIE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 563-4706
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 563-4706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
69524
CT
207P00000X
Emergency Medicine Physician
ME132597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022248100
—
FL
01
—
69524
MD LIC
CT
Enumeration date
03/28/2014
Last updated
10/08/2021
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