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Organization
LUIS S ULLOA MD PA
Active
Organization
LUIS S ULLOA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA ULLOA (OFFICE MANAGER)
(561) 627-6243
Entity
Organization
Contact information
Practice address
601 UNIVERSITY BLVD STE 202, JUPITER, FL 33458-2788
(561) 627-6243
Mailing address
601 UNIVERSITY BLVD STE 202, JUPITER, FL 33458-2788
(561) 627-6243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0038283
FL
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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