Provider Demographics
NPI:1417407362
Name:JULES, GINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:
Last Name:JULES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 SAWGRASS CORPORATE PKWY FL 4
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2855
Mailing Address - Country:US
Mailing Address - Phone:888-498-1444
Mailing Address - Fax:888-614-3890
Practice Address - Street 1:1560 SAWGRASS CORPORATE PKWY FL 4
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2855
Practice Address - Country:US
Practice Address - Phone:888-498-1444
Practice Address - Fax:888-614-3890
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40526183500000X
FLPU6559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist