Provider Demographics
NPI:1437359981
Name:PLATTE, IULIA R (MD)
Entity Type:Individual
Prefix:
First Name:IULIA
Middle Name:R
Last Name:PLATTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 45443
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84145-0443
Mailing Address - Country:US
Mailing Address - Phone:904-202-1032
Mailing Address - Fax:904-376-4107
Practice Address - Street 1:230 VILLAGE COMMONS DRIVE
Practice Address - Street 2:
Practice Address - City:ST. AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092
Practice Address - Country:US
Practice Address - Phone:904-940-1441
Practice Address - Fax:904-390-7463
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2023-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 113585207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01201927OtherRR MEDICARE
FLGN927ZMedicare PIN