Provider Demographics
NPI:1669881694
Name:LEMIRE MONFETTE, JULIE (AP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:LEMIRE MONFETTE
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 NE 8TH AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-3580
Mailing Address - Country:US
Mailing Address - Phone:305-450-1523
Mailing Address - Fax:
Practice Address - Street 1:211 NE 8TH AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3580
Practice Address - Country:US
Practice Address - Phone:305-450-1523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3329171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist