Provider Demographics
NPI:1013071406
Name:INGLIS, JULIA ELLEN
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ELLEN
Last Name:INGLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 NW 32ND PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-2228
Mailing Address - Country:US
Mailing Address - Phone:352-375-4223
Mailing Address - Fax:
Practice Address - Street 1:606 NW 32ND PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-2228
Practice Address - Country:US
Practice Address - Phone:352-375-4223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0047659174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist