Provider Demographics
NPI:1912341090
Name:PLAZA, JULINEL
Entity Type:Individual
Prefix:
First Name:JULINEL
Middle Name:
Last Name:PLAZA
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 1:5928 SHERIDAN ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3246
Mailing Address - Country:US
Mailing Address - Phone:954-251-2702
Mailing Address - Fax:954-613-5165
Practice Address - Street 1:5928 SHERIDAN ST STE B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3246
Practice Address - Country:US
Practice Address - Phone:954-251-2702
Practice Address - Fax:954-613-5165
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker