Provider Demographics
NPI:1710446687
Name:JULIA NEMIROFF, MD PLLC
Entity Type:Organization
Organization Name:JULIA NEMIROFF, MD PLLC
Other - Org Name:RETINA AND EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMIROFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-724-0662
Mailing Address - Street 1:2560 RCA BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3337
Mailing Address - Country:US
Mailing Address - Phone:561-331-1797
Mailing Address - Fax:561-331-5073
Practice Address - Street 1:2560 RCA BLVD STE 112
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3337
Practice Address - Country:US
Practice Address - Phone:561-331-1797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty