Provider Demographics
NPI:1659625689
Name:CEDENO, JULIAN (ARNP)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:CEDENO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6451 COW PEN RD
Mailing Address - Street 2:APT K211
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-7608
Mailing Address - Country:US
Mailing Address - Phone:786-252-1190
Mailing Address - Fax:
Practice Address - Street 1:15529 BULL RUN RD
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-7004
Practice Address - Country:US
Practice Address - Phone:305-455-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-29
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9310409363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health