| Juliana S. Dale Do Pa | |
|
201 5th Avenue Dr E Bradenton FL 34208-1915 | |
| (941) 746-4151 | |
| Not Available |
| Full Name | Juliana S. Dale Do Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 5th Avenue Dr E, Bradenton, Florida |
| Authorized Official Name and Position | Juliana Santiago Dale (PRESIDENT) |
| Authorized Official Contact | 9412530030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juliana S. Dale Do Pa 201 5th Avenue Dr E Ste 200 Bradenton FL 34208-1915 Ph: (941) 746-4151 | Juliana S. Dale Do Pa 201 5th Avenue Dr E Bradenton FL 34208-1915 Ph: (941) 746-4151 |
| NPI Number | 1336754035 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 06/12/2026 |
| Medicare PECOS PAC ID | 1052739364 |
|---|---|
| Medicare Enrollment ID | O20200918001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336754035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Juliana S Dale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801327572 PECOS PAC ID: 8022436336 Enrollment ID: I20200918001516 |
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