Provider Demographics
NPI:1821186230
Name:KONOWITZ SIRKIN, JULIE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:KONOWITZ SIRKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 JFK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6638
Mailing Address - Country:US
Mailing Address - Phone:561-964-1215
Mailing Address - Fax:561-964-1245
Practice Address - Street 1:9868 S STATE ROAD 7 STE 305
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4475
Practice Address - Country:US
Practice Address - Phone:561-369-0111
Practice Address - Fax:561-369-4003
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL84037208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7539386OtherAETNA
FL15675OtherBLUE CROSS BLUE SHIELD
FL263544500Medicaid
FL8159487004OtherCIGNA
FLSG033359OtherVISTA
FL000004206965OtherHEALTHY PALM BEACHES
FL041634OtherNHP
FL21221016506OtherBEECHSTREET
FL284509OtherAVMED
FL176914OtherSFCN
FL244824OtherWELLCARE