Individual
VIRGINIA AMANDA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3251 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2022
(727) 315-7496
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME160993
FL
Other
Enumeration date
05/07/2020
Last updated
10/09/2024
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