Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | OS6891 | FL |
NPI | 1013906452 |
---|---|
Provider Name | Dr. Julie Fabregas-Schindler |
First Address | Jacksonville, FL 32277-2044 |
Second Address | Jacksonville, FL 32277-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 13/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276600100 | (05) | FL |
F32967 | (02) | FL |
P00173936 | MEDICARE RAILROAD PIN (01) | GA |