Provider Demographics
NPI:1053635482
Name:PARENTE-HECK, JULIANNE MARTINS (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:MARTINS
Last Name:PARENTE-HECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 FUTURES DR STE 17
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819
Mailing Address - Country:US
Mailing Address - Phone:321-214-0028
Mailing Address - Fax:407-429-3833
Practice Address - Street 1:7350 FUTURES DR STE 17
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819
Practice Address - Country:US
Practice Address - Phone:321-214-0028
Practice Address - Fax:407-429-3833
Is Sole Proprietor?:No
Enumeration Date:2010-03-14
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115446207RN0300X, 207RN0300X
SCMD36346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC363467Medicaid
SCGP5462Medicaid
SC363467Medicaid
SCGP9493Medicare PIN