Individual
RENALDIA ULYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 SE VIA VISCONTI, PORT ST LUCIE, FL 34952-5321
(772) 259-0844
Mailing address
212 SE VIA VISCONTI, PORT ST LUCIE, FL 34952-5321
(772) 259-0844
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11041943
FL
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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