Provider Demographics
NPI:1043694250
Name:HARTER, JULIA (DC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:HARTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9695 93RD ST
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-2145
Mailing Address - Country:US
Mailing Address - Phone:727-906-5099
Mailing Address - Fax:
Practice Address - Street 1:9695 93RD ST
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-2145
Practice Address - Country:US
Practice Address - Phone:727-906-5099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor