Provider Demographics
NPI:1164785234
Name:SCHOTTENSTEIN, JULIE (DPM)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:SCHOTTENSTEIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 NW 27TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1902
Mailing Address - Country:US
Mailing Address - Phone:786-662-3893
Mailing Address - Fax:786-662-3899
Practice Address - Street 1:2800 BISCAYNE BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4559
Practice Address - Country:US
Practice Address - Phone:305-912-6646
Practice Address - Fax:800-974-6092
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3748213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFNQ1TOtherBCBS
FLIH240YMedicare PIN