Provider Demographics
NPI:1235296153
Name:JUST LADIES HEALTHCARE, P.A.
Entity Type:Organization
Organization Name:JUST LADIES HEALTHCARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMAX-HOMIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-489-6636
Mailing Address - Street 1:1304 N LAWNWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4884
Mailing Address - Country:US
Mailing Address - Phone:772-489-6636
Mailing Address - Fax:772-489-5749
Practice Address - Street 1:1304 N LAWNWOOD CIR
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4884
Practice Address - Country:US
Practice Address - Phone:772-489-6636
Practice Address - Fax:772-489-5749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0048841207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0494Medicare ID - Type Unspecified