Individual
MR. FERNANDO M ULLOA
Active
Individual
MR. FERNANDO M ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
574074-1
NY
163W00000X
Registered Nurse
RN9623430
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11025366
FL
Other
Enumeration date
02/05/2009
Last updated
06/12/2025
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