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Organization
LUIS S. ULLOA MDPA
Active
Organization
LUIS S. ULLOA MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS S ULLOA M.D. (PRESIDENT)
(561) 627-7766
Entity
Organization
Contact information
Practice address
3370 BURNS RD, SUITE#105, PALM BEACH GARDENS, FL 33410-4327
(561) 627-7766
(561) 691-4865
Mailing address
601 UNIVERSITY BLVD, SIUTE #202, JUPITER, FL 33458-2788
(561) 627-7766
(561) 691-4865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0038283
FL
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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