Doctor Name: | MRS. JULIE BARINEAU MATHIS |
NPI Number: | 1316383003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COTA |
License Number: | OTA12926 |
Business Practice Address: | 296 Cherokee Dr Havana, FL - 323334522 |
Business Phone Number: | 8508680623 |
Business Fax Number: | |
Mailing Address: | 296 Cherokee Dr, HAVANA |
State: | FL |
Postal Code: | 323334522 |
Phone Number: | 8508680623 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | OTA12926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |