Individual
DR. JONATHAN ULYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1040 NW 128TH ST, NORTH MIAMI, FL 33168-6527
(786) 389-6061
Mailing address
1040 NW 128TH ST, NORTH MIAMI, FL 33168-6527
(786) 389-6061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5592
FL
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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