Individual
EMILY ROSE ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1720 S ORANGE AVE STE 500, ORLANDO, FL 32806
(407) 540-1000
(407) 540-1011
Mailing address
1720 S ORANGE AVE STE 500, ORLANDO, FL 32806-2967
(407) 540-1000
(407) 540-1011
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9111125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038400
—
FL
Enumeration date
02/28/2018
Last updated
07/06/2018
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