Provider Demographics
NPI:1225260961
Name:JULIEN, FLORENS
Entity Type:Individual
Prefix:MR
First Name:FLORENS
Middle Name:
Last Name:JULIEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 NW 192ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3443
Mailing Address - Country:US
Mailing Address - Phone:305-710-1876
Mailing Address - Fax:786-320-5933
Practice Address - Street 1:1300 NW 192ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-3443
Practice Address - Country:US
Practice Address - Phone:305-710-1876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FL252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No252Y00000XAgenciesEarly Intervention Provider Agency