Provider Demographics
NPI:1942532809
Name:SHUBICK, JULIE M (DC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:SHUBICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 WOODPOINT TER
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-6882
Mailing Address - Country:US
Mailing Address - Phone:386-212-9991
Mailing Address - Fax:
Practice Address - Street 1:121 VICTORIA COMMONS BLVD STE 106
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-7773
Practice Address - Country:US
Practice Address - Phone:386-873-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor