Provider Demographics
NPI:1114407566
Name:JULIANO, RALPH (LP)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:
Last Name:JULIANO
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 SE 17TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9140
Mailing Address - Country:US
Mailing Address - Phone:352-351-3207
Mailing Address - Fax:
Practice Address - Street 1:2300 SE 17TH ST STE 401
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9140
Practice Address - Country:US
Practice Address - Phone:352-351-3207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPRO16OtherSTATE OF FL