Provider Demographics
NPI:1285890301
Name:HAUGEN, JULIE E (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:E
Last Name:HAUGEN
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MICHIGAN AVE
Mailing Address - Street 2:#606
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-4821
Mailing Address - Country:US
Mailing Address - Phone:305-490-3311
Mailing Address - Fax:305-647-6471
Practice Address - Street 1:1688 MERIDIAN AVE
Practice Address - Street 2:10TH FLOOR
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2710
Practice Address - Country:US
Practice Address - Phone:305-490-3311
Practice Address - Fax:305-647-6471
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 4566133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered