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Contact Information

JULIE L IELLIMO, PHYSICIAN ASSISTANT
3109 MEDICAL WAY
SEBRING, FL33870
 Phone: 863-386-0786
 Fax: 863-386-1848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JULIE L IELLIMO · (Female)

NPI Number 1750440657
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 12/06/2006
Last updated 10/31/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9103930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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