person
Dr. Eric Jay Lullove, DPM
Foot & Ankle Surgery Podiatrist in Coconut Creek, Florida
NPI 1104811744

Eric Jay Lullove is a Foot & Ankle Surgery Podiatrist based in Coconut Creek, FL and is specialized in Foot & Ankle Surgery. Eric Jay Lullove practices in Coconut Creek, FL and has the professional credentials of DPM. The NPI Number for Eric Jay Lullove is 1104811744 and holds a License No. PO 3133 (Florida).

The current practice location address for Eric Jay Lullove is 4855 W Hillsboro Blvd, Coconut Creek, FL and can be reached out via phone at 561-989-9780 and via fax at 561-989-9781.

Location: 4855 W Hillsboro Blvd, Coconut Creek, FL, 33073-4356
person
Provider Profile Details
NPI Number
1104811744
Provider Name
Eric Jay Lullove
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4855 W Hillsboro Blvd, Coconut Creek, FL, 33073-4356
Phone Number
561-989-9780
Fax Number
561-989-9781
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340480300 05 FL
institution
Provider Business Practice Location Address Details
Address
4855 W Hillsboro Blvd
City
State
Zip
33073-4356
Phone Number
561-989-9780
Fax Number
561-989-9781
person
Provider Business Mailing Address Details
Address
4855 W Hillsboro Blvd
City
State
Zip
33073-4356
Phone Number
561-989-9780
Fax Number
561-989-9781
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO 3133 (Florida)
Definition
Definition to come...
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