Provider Demographics
NPI:1972834869
Name:PLUCHINO, JULIA DOMENICA (PA-C)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:DOMENICA
Last Name:PLUCHINO
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:21110 BISCAYNE BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1251
Mailing Address - Country:US
Mailing Address - Phone:307-948-9595
Mailing Address - Fax:305-948-9292
Practice Address - Street 1:21110 BISCAYNE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1251
Practice Address - Country:US
Practice Address - Phone:307-948-9595
Practice Address - Fax:305-948-9292
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-17
Last Update Date:2022-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9101770363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical