Individual
ELKE OJEDA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1150 N 35TH AVE STE 555, HOLLYWOOD, FL 33021-5431
(954) 265-0072
(954) 981-0188
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102956
FL
363AS0400X
Surgical Physician Assistant
PA9102956
FL
Other
Enumeration date
11/07/2006
Last updated
05/10/2022
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