Provider Demographics
NPI:1144655077
Name:SHMURAK, JULIA (DPT)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:SHMURAK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 WHITEHEAD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3700
Mailing Address - Country:US
Mailing Address - Phone:786-301-2007
Mailing Address - Fax:
Practice Address - Street 1:1500 MONZA AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3087
Practice Address - Country:US
Practice Address - Phone:305-740-6001
Practice Address - Fax:305-740-6998
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist