| Eric J Lullove Dpm Pa | |
|
4855 W Hillsboro Blvd Ste B6, Coconut Creek, FL 33073-4356 | |
| (561) 989-9780 | |
| (561) 989-9781 |
| Full Name | Eric J Lullove Dpm Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4855 W Hillsboro Blvd Ste B6, Coconut Creek, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952361891 | NPI | - | NPPES |
| 340480300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3133 (Florida) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PO3133 (Florida) | Secondary |
| Provider Name | Eric J Lullove |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104811744 PECOS PAC ID: 0446140701 Enrollment ID: I20040617001739 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J Lullove Dpm Pa 4855 W Hillsboro Blvd Ste B6, Coconut Creek, FL 33073-4356 Ph: (561) 989-9780 | Eric J Lullove Dpm Pa 4855 W Hillsboro Blvd Ste B6, Coconut Creek, FL 33073-4356 Ph: (561) 989-9780 |
Dr. Richard Fields, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3720 Coconut Creek Pkwy, Suite C, Coconut Creek, FL 33066 Phone: 954-330-6044 Fax: 786-513-8481 | |
Dr. Eric Jay Lullove, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4855 W Hillsboro Blvd, Ste B6, Coconut Creek, FL 33073 Phone: 561-989-9780 Fax: 561-989-9781 | |
Certified Foot & Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 4879 Coconut Creek Pkwy, Coconut Creek, FL 33063 Phone: 954-979-0505 Fax: 954-979-4298 |