Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OS18057 | FL |
Y | 111NI0900X | Internist | OS18057 | FL |
NPI | 1003308222 |
---|---|
Provider Name | Dr. Julia Mcneice |
First Address | Lakeland, FL 33805-3065 |
Second Address | Lakeland, FL 33805-3065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2018 |
Last Update Date | 03/09/2021 |