Provider Demographics
NPI:1508361486
Name:ISAAC, JULIANA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:
Last Name:ISAAC
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:AQUINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:10101 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1808
Mailing Address - Country:US
Mailing Address - Phone:305-894-2939
Mailing Address - Fax:
Practice Address - Street 1:10101 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1808
Practice Address - Country:US
Practice Address - Phone:305-894-2939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9361938163W00000X
FLAPRN9361938363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN9361938OtherFLORIDA DEPARTMENT OF HEALTH