Provider Demographics
NPI:1992319776
Name:ENSZ, JULIE LE-HUYNH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:LE-HUYNH
Last Name:ENSZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11150 ENGLENOOK DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-0530
Mailing Address - Country:US
Mailing Address - Phone:904-434-5051
Mailing Address - Fax:
Practice Address - Street 1:630 ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:NEPTUNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32266-4000
Practice Address - Country:US
Practice Address - Phone:904-249-1725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist