DR. ERIC JAY LULLOVE (NPI# 1104811744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104811744 |
| Entity Type | Individual |
| Full Name | DR. ERIC JAY LULLOVE |
| Credential | D.P.M. |
| Practice Address |
4855 W Hillsboro Blvd Ste B6 Coconut Creek FL 33073-4356 |
| Practice Telephone | 5619899780 |
| Practice Fax Number | 5619899781 |
| Mailing Telephone | 5619899780 |
| Mailing Fax Number | 5619899781 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3133 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340480300 | 05 |
| Street Address |
4855 W HILLSBORO BLVD STE B6 |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33073-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174925879 | Naicka D Mathias | Physician Assistant | 4855 W Hillsboro Blvd, Suite B2, Coconut Creek, FL 33073-4356 | 2014-09-24 |
| 1952636094 | Zoyla Almeida Md Pa | Obstetrics & Gynecology | 4855 W Hillsboro Blvd, Suite B-13, Coconut Creek, FL 33073-4365 | 2009-10-07 |
| 1376778720 | Frank Lavernia Md Pa | Internal Medicine | 4855 W Hillsboro Blvd, Suite B-6, Coconut Creek, FL 33073-4356 | 2009-05-28 |
| 1750548343 | Christine I Zullo | Physician Assistant | 4855 W Hillsboro Blvd, Suite B13, Coconut Creek, FL 33073-4356 | 2008-05-21 |
| 1437331915 | Michele Lanese Inc | Social Worker | 4855 W Hillsboro Blvd, Suite B1, Coconut Creek, FL 33073-4356 | 2007-11-27 |
| 1720274764 | Mario Favilli Md Pa | Family Medicine | 4855 W Hillsboro Blvd, Suite B8, Coconut Creek, FL 33073-4356 | 2007-09-24 |
| 1730304221 | Mario Noel Favilli | Family Medicine | 4855 W Hillsboro Blvd, B8, Coconut Creek, FL 33073-4356 | 2007-04-17 |
| 1295894301 | Center for Identity Development South Ltd Inc | Clinic/Center | 4855 W Hillsboro Blvd, Suite B1, Coconut Creek, FL 33073-4356 | 2006-12-06 |
| 1942395850 | Michele Linda Lanese | Social Worker | 4855 W Hillsboro Blvd, Suite B1, Coconut Creek, FL 33073-4356 | 2006-10-04 |
| 1417909417 | Heartland Home Health Care Services LLC | Home Health | 4855 W Hillsboro Blvd, Suite B-4, Coconut Creek, FL 33073-4356 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932631181 | Certified Foot and Ankle Specialists | Podiatrist | 4879 Coconut Creek Pkwy, Coconut Creek, FL 33063-3944 | 2017-03-28 |
| 1073856308 | Richard Fields | Podiatrist | 3720 Coconut Creek Pkwy, Suite C, Coconut Creek, FL 33066-1634 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | COCONUT CREEK |
| Zip Code | 33073 |
Please comment or provide details below to improve the information on DR. ERIC JAY LULLOVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.