Doctor Name: | JULIE BAVIN |
NPI Number: | 1023481025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 9271701 |
Business Practice Address: | 985 Sr 436 Casselberry, FL - 327075664 |
Business Phone Number: | 4078315252 |
Business Fax Number: | 4078313390 |
Mailing Address: | 985 Sr 436, CASSELBERRY |
State: | FL |
Postal Code: | 327075664 |
Phone Number: | 4078315252 |
Fax Number: | 4078313390 |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9271701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |