Provider Demographics
NPI:1750675682
Name:EDWARDS, JULIANA (AT, L)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:AT, L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6816 SW 20TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2710
Mailing Address - Country:US
Mailing Address - Phone:305-619-0392
Mailing Address - Fax:
Practice Address - Street 1:6816 SW 20TH CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-2710
Practice Address - Country:US
Practice Address - Phone:305-619-0392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer