Provider Demographics
NPI:1932156031
Name:SARANITA, JULIE (DO)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:SARANITA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 HOOKS STREET
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711
Mailing Address - Country:US
Mailing Address - Phone:352-394-0833
Mailing Address - Fax:352-394-0367
Practice Address - Street 1:2440 HOOKS STREET
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711
Practice Address - Country:US
Practice Address - Phone:352-394-0833
Practice Address - Fax:352-394-0367
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8836207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272779001Medicaid
52070YMedicare PIN
I25343Medicare UPIN