Active NPI 1912409574 Individual Practitioner Female Practitioner

Emily Rose Ulloa , PA

Physician Assistant - Surgical • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Emily Ulloa, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Orlando, FL. Practice services are available at 1720 S ORANGE AVE STE 500 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1720 S Orange Ave Ste 500

Orlando, FL 32806

Telephone 4075401000

Fax 4075401011

Associated Practice Facility / Clinic

🏢 Children's Surgical Associates Facility NPI 1568415115

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Orlando, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.1 Yrs

State Avg: 15.3 Yrs

Regional Practice Density

193 Specialists

Practicing in Orlando, FL (1463 Statewide)

Telehealth Adoption Rate

7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA9111125

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100038400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Dr. Brenna Fullerton , MD

Surgery - Pediatric Surgery

NPI 1366741720

Doctor of Medicine (M.D.)

Rodny Diaz Mendez

Physician Assistant - Surgical

NPI 1407648744

Devinn Gorey

Physician Assistant - Surgical

NPI 1457080731

Jesica Archie , MSN

Nurse Practitioner - Pediatrics

NPI 1588974869

Master of Science in Nursing

Dr. Cristine Velazco , MD

Surgery - Pediatric Surgery

NPI 1659716983

Doctor of Medicine (M.D.)

Dr. Donald Plumley , MD

Surgery - Pediatric Surgery

NPI 1669426920

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 06, 2018

Registered at 1720 S ORANGE AVE STE 500, ORLANDO, FL 32806 (Tel: 4075401000)

📍

Updated Business Mailing Address July 06, 2018

Registered at 1720 S ORANGE AVE STE 500, ORLANDO, FL 328062967 (Tel: 4075401000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2018

Physician Assistant (License #PA9111125 in FL)

✅

NPI Profile Active February 28, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2018

Registered at 1814 LUCERNE TER STE A, ORLANDO, FL 328062949 (Tel: 4075401616)

📍

Updated Business Mailing Address February 28, 2018

Registered at 1814 LUCERNE TER STE A, ORLANDO, FL 328062949 (Tel: 4075401616)

👤

Provider Name / Credentials Updated February 28, 2018

Recorded as EMILY ULLOA, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2018

Surgery (License #PA9111125 in FL)

🟢

Initial NPI Registration & Enumeration February 28, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912409574

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 28, 2018

Last Update: July 06, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1720 S Orange Ave Ste 500

Orlando, FL 328062967

Phone: 4075401000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.