Julius C Licong (NPI# 1386797975, PAC ID# 1850204256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1386797975 |
| PAC ID by PECOS | 1850204256 |
| Professional Enrollment ID | I20031111000653 |
| Full Name | Julius C Licong |
| Address |
3105 Innovation Dr Saint Cloud FL 34769-6501 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3105 Innovation Dr, Saint Cloud, FL 34769-6501 |
| Street Address |
3105 INNOVATION DR |
| City | SAINT CLOUD |
| State | FL |
| Zip | 34769-6501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen Ana Sierra | Family Medicine | 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | |
| Dustin N Ly | Internal Medicine | 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | |
| Naga Lakshmana Prasad Nidadavolu | Neurology | 4739 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | |
| Steven L Petty | Chiropractic | Joint Maneuvers Chiropractic Centre Pa | 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 |
| Brett E Petty | Chiropractic | Joint Maneuvers Chiropractic Centre Pa | 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 |
| Ramarao Makkena | Psychiatry | Oglethorpe of Orlando Inc | 91 Beehive Cir, Saint Cloud, FL 34769-1432 |
| Amit R Desai | Psychiatry | Oglethorpe of Orlando Inc | 91 Beehive Cir, Saint Cloud, FL 34769-1432 |
| Jose A Flores Guevara | Ophthalmology | St Cloud Eye Center Inc | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 |
| Ly T Nguyen | Ophthalmology | St Cloud Eye Center Inc | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 |
| Elba E Masid | Family Medicine | 4513 Old Canoe Creek Rd, Saint Cloud, FL 34769-1551 | |
| Find all physicians in zip 34769 | |||
| City | SAINT CLOUD |
| Zip Code | 34769 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAINT CLOUD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Julius C Licong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.