Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JULIE PECKHAM

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · ORANGE PARK, FL

Registration Details

NPI Number: 1174980924
Provider Type: Individual
Gender: Female
NPI Issued: Jan 25, 2016 (10.237480688702 yrs)
Last Updated: Jan 25, 2016
Sole Proprietor: Yes

Practice Information

Address: 1134 MORGAN CIR E

ORANGE PARK, FL, 320733961
Browse FL providers · Browse ZIP 32073
Phone: 9048662986
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.