Organization
DULA-CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE FORDE (CEO)
(786) 256-6575
Entity
Organization
Contact information
Practice address
1925 E 6TH AVE STE 6, YBOR CITY, FL 33605-5225
(614) 563-8763
Mailing address
1925 E 6TH AVE STE 6, YBOR CITY, FL 33605-5225
(614) 563-8763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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