ERIC J LULLOVE DPM PA
Suppliers at Palmetto Park Rd, Boca Raton, FL

License number
Florida PO3133
Category
Medical Practice
Type
Foot & Ankle Surgery
License number
Florida PO3133
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: DR. ERIC JAY LULLOVE D.P.M.
Title: OWNER/PRESIDENT
Phone: (561) 989-9780
Address
Address
7301 W Palmetto Park Rd SUITE 201-C, Boca Raton, FL 33433
National Provider ID: 1952361891
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERIC J. LULLOVE, D.P.M., PA

Boca Raton, FL

Industry:
Medical Doctor's Office
Doing business as:
Eric J Lullove DPM PA
Registration:
Sep 8, 2005
Phone:
(561) 989-9780 (Phone)
Addresses:
2900 N Military Trl SUITE 244, Boca Raton, FL 33431 (Physical)
7301 W Palmetto Park Rd, Boca Raton, FL 33433
State ID:
P05000124039
Business type:
Florida Profit Corporation
President, Director:
Eric J Lullove (President, Director)
Agent:
Eric Lullove
EIN:
203442814

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