Individual
DR. ERIC JAY LULLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4855 W HILLSBORO BLVD, STE B6, COCONUT CREEK, FL 33073-4356
(561) 989-9780
(561) 989-9781
Mailing address
4855 W HILLSBORO BLVD, STE B6, COCONUT CREEK, FL 33073-4356
(561) 989-9780
(561) 989-9781
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340480300
—
FL
Enumeration date
09/20/2005
Last updated
07/30/2017
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