Organization Active NPI

Juliana S. Dale DO PA

  • Primary Care Clinic/Center
  • Bradenton, FL
National Provider Identifier
1336754035
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JULIANA S. DALE DO PA
Practice address
201 5TH Avenue Dr E
Bradenton, FL 34208-1915
Phone
(941) 746-4151
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Juliana Santiago Dale, DONPI 1801327572
Title
President
Phone
(941) 253-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

201 5TH Avenue Dr E
Bradenton, FL 34208-1915

Mailing address

201 5TH Avenue Dr E Ste 200
Bradenton, FL 34208-1915
Phone (941) 746-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200918001354 FL Part B Supplier - Clinic/Group Practice 1052739364 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

201 5th Avenue Dr E
Ste 200
Bradenton, FL 34208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1336754035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH AVENUE DR E STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081915",
            "telephone_number": "941-746-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH AVENUE DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081915",
            "telephone_number": "941-746-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANA S. DALE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-253-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.