Provider Demographics
NPI:1073525572
Name:TEMPLET, JULIE TRIPPODO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:TRIPPODO
Last Name:TEMPLET
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 1:2179 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-9608
Mailing Address - Country:US
Mailing Address - Phone:941-966-0222
Mailing Address - Fax:
Practice Address - Street 1:2179 S TAMIAMI TRL
Practice Address - Street 2:SUITE 101
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9608
Practice Address - Country:US
Practice Address - Phone:941-966-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT181953207N00000X
FLME98486207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAF884ZMedicare PIN
FLK4796Medicare PIN