Provider Demographics
NPI:1720761042
Name:DOODNATH, JULIA M (HHACNA,PCT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:DOODNATH
Suffix:
Gender:F
Credentials:HHACNA,PCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 PORTERSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-2852
Mailing Address - Country:US
Mailing Address - Phone:407-666-6513
Mailing Address - Fax:
Practice Address - Street 1:3420 PORTERSFIELD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-2852
Practice Address - Country:US
Practice Address - Phone:407-666-6513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA302759374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty