Provider Demographics
NPI:1407362171
Name:JULIE SCHOTTENSTEIN DPM LLC
Entity type:Organization
Organization Name:JULIE SCHOTTENSTEIN DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOTTENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-912-6646
Mailing Address - Street 1:2800 BISCAYNE BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4559
Mailing Address - Country:US
Mailing Address - Phone:305-912-6646
Mailing Address - Fax:954-929-2001
Practice Address - Street 1:2800 BISCAYNE BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4559
Practice Address - Country:US
Practice Address - Phone:305-912-6646
Practice Address - Fax:800-974-6092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty