Healthcare Provider Details

I. General information

NPI: 1497728687
Provider Name (Legal Business Name): IRIT LUDIN-ULLMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 05/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 S DADELAND BLVD STE 802
MIAMI FL
33156-2824
US

IV. Provider business mailing address

1835 NE MIAMI GARDENS DR 543
NORTH MIAMI BEACH FL
33179-5035
US

V. Phone/Fax

Practice location:
  • Phone: 305-468-4185
  • Fax: 305-675-3378
Mailing address:
  • Phone: 305-468-4185
  • Fax: 305-675-3378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME78484
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: