Provider Demographics
NPI:1043854284
Name:ULERU PROJECT LLC
Entity Type:Organization
Organization Name:ULERU PROJECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UBERTO
Authorized Official - Middle Name:LEONE
Authorized Official - Last Name:MONDOLFI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:786-366-2311
Mailing Address - Street 1:2000 S DIXIE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2455
Mailing Address - Country:US
Mailing Address - Phone:786-366-2311
Mailing Address - Fax:305-563-8518
Practice Address - Street 1:2000 S DIXIE HWY STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2455
Practice Address - Country:US
Practice Address - Phone:786-366-2311
Practice Address - Fax:305-563-8518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty