Individual
JULIO CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 387-4991
Mailing address
6670 ORTOLAN AVE, JACKSONVILLE, FL 32216-5721
(904) 333-9444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2134-P.A.
PR
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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