Dula-Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DULA-CORP

Practice address

1925 E 6TH Ave Ste 6
Ybor City, FL 33605-5225

Phone

(614) 563-8763

NPI assigned

Apr 17, 2023

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andre Forde

Title

Ceo

Phone

(786) 256-6575

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1467148965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E 6TH AVE STE 6",
            "city": "YBOR CITY",
            "state": "FL",
            "postal_code": "336055225",
            "telephone_number": "614-563-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E 6TH AVE STE 6",
            "city": "YBOR CITY",
            "state": "FL",
            "postal_code": "336055225",
            "telephone_number": "614-563-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULA-CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-256-6575"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dula International Inc
• Hacienda Alf Services, LLC
• Safeharbor Dialysis LLC (East Tampa Dialysis)

• Family Medicine Physician in Ybor City, FL
• Providers in Ybor City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.