Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO4293 | FL |
NPI | 1356702344 |
---|---|
Provider Name | Dr. Julia Nektal |
First Address | Surfside, FL 33154-2806 |
Second Address | Surfside, FL 33154-2806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2016 |
Last Update Date | 04/11/2021 |