| Doctor Name: | JULIO C POVEDA |
| NPI Number: | 1649401720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | ME69665 |
| Business Practice Address: | 19200 Sw 377 St Florida City, FL - 33034 |
| Business Phone Number: | 3052422300 |
| Business Fax Number: | |
| Mailing Address: | 15807 Sw 99th St, MIAMI |
| State: | FL |
| Postal Code: | 331966110 |
| Phone Number: | 3053822899 |
| Fax Number: | 3057525096 |
| NPI Enumeration Date: | 08/06/2009 |
| NPI Last Update Date: | 08/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME69665 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |