1104146133

Everything you always wanted to know about DR. BARNUM NICOLE JOLIETTE M.D. but were afraid to ask.

DR. BARNUM NICOLE JOLIETTE M.D.

You can also download the this 1104146133 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. BARNUM NICOLE JOLIETTE M.D.
Gender:
Female
Enumeration date:
2010-06-01
Last update date:
2017-07-20
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
208600000X Surgery FL ME133013 Y

Phone Numbers

Type Number
Mailing Address Fax Number 9417611532
Practice Location Address Fax Number 9417611532
Mailing Address Telephone Number (941) 794-5621
Practice Location Address Telephone Number (941) 794-5621

Addresses

Type Address City State Postal Country
Mailing Address 2010 59TH ST W STE 2200 BRADENTON FL 34209 FL
Practice Location Address 2010 59TH ST W STE 2200 BRADENTON FL 34209 FL

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