Provider Demographics
NPI:1528621182
Name:CADET-PLASSMAN, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:CADET-PLASSMAN
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 1:620 NE 128TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4829
Mailing Address - Country:US
Mailing Address - Phone:305-640-5611
Mailing Address - Fax:786-360-2048
Practice Address - Street 1:620 NE 128TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4829
Practice Address - Country:US
Practice Address - Phone:305-640-5611
Practice Address - Fax:786-360-2048
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FL155257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program