Provider Demographics
NPI:1780689547
Name:SCADUTO, JULIA M (NP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:SCADUTO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:13020 N TELECOM PKWY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0925
Mailing Address - Country:US
Mailing Address - Phone:813-978-9700
Mailing Address - Fax:813-972-5055
Practice Address - Street 1:7544 JACQUE RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667
Practice Address - Country:US
Practice Address - Phone:727-697-2200
Practice Address - Fax:727-863-8774
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2019-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP1548792363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001246800Medicaid
FL500002590OtherRAILROAD MEDICARE
FL001246800Medicaid
FLS04490Medicare UPIN