Provider Demographics
NPI:1144562679
Name:HEGERT, JULIA VICTORIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:VICTORIA
Last Name:HEGERT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4125 WOODLYNNE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-7559
Mailing Address - Country:US
Mailing Address - Phone:321-841-1327
Mailing Address - Fax:321-841-2428
Practice Address - Street 1:92 W MILLER ST # MP331
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2032
Practice Address - Country:US
Practice Address - Phone:321-841-1327
Practice Address - Fax:321-841-2428
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 57947207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology