Ulloa, Fernando M

Ulloa, Fernando M is an sole proprietor health care provider with primary practice located at 61 Memorial Medical Pkwy Ste 3803 , Palm Coast FL 32164-5982. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Ulloa, Fernando M can be contacted via phone (718) 721-1674.

Contact Information

Primary practice address
61 Memorial Medical Pkwy Ste 3803 Palm Coast FL 32164-5982
Phone: (718) 721-1674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 574074-1 New York
Nursing Service Providers / Registered Nurse 163W00000X RN9623430 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11025366 Florida

Profile Details

NPI number 1043459563
LBN Legal business name Ulloa, Fernando M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2009
Last updated Jun 12th, 2025 - about last year

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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