| Doctor Name: | DR. JULIE C SERVOSS |
| NPI Number: | 1306816178 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, MPH |
| License Number: | ME94610 |
| Business Practice Address: | 3848 Fau Blvd Ste 305 Boca Raton, FL - 334316437 |
| Business Phone Number: | 5614553627 |
| Business Fax Number: | 5613937312 |
| Mailing Address: | 1500 Nw 12th Ave, Jmt-east 1007 MIAMI |
| State: | FL |
| Postal Code: | 331361051 |
| Phone Number: | 3052434664 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 01/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME94610 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |