Lullove, Eric Jay

Lullove, Eric Jay is an individual health care provider with primary practice located at 4855 W Hillsboro Blvd Ste B6, Coconut Creek FL 33073-4356. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lullove, Eric Jay can be contacted via phone (561) 989-9780.

Contact Information

Primary practice address
4855 W Hillsboro Blvd Ste B6 Coconut Creek FL 33073-4356
Phone: (561) 989-9780
Fax: (561) 989-9781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3133 Florida

Profile Details

NPI number 1104811744
LBN Legal business name Lullove, Eric Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 30th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104811744 NPPES
Florida MEDICAID 340480300

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