Individual ProviderJulie SouthmaydInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address311 9th St N Ste 306, Naples, FL 34102-5878(239) 624-0340PECOS EnrollmentBased on the most recent information from CMS, provider Julie Southmayd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1922011287Provider TypeIndividualFull NameSouthmayd, JulieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date8/15/2006Last Updated7/21/2022Contact InformationPractice LocationPractice Address311 9th St N Ste 306, Naples, FL 34102-5878Phone(239) 624-0340Fax(239) 624-0341Mailing LocationMailing Address311 9th St N Ste 306, Naples, FL 34102-5878Phone(239) 624-0340Fax(239) 624-0341Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME72817FloridaProvider IdentifiersIDDescriptionIssuerIDP01224100DescriptionOtherIssuerRAILROADFloridaID44235DescriptionOtherIssuerBCBSFloridaID44235RDescriptionOtherIssuerMEDICAREFlorida