Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Eric Jay Lullove, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1104811744

Dr. Eric Jay Lullove, DPM is a Podiatry in Coconut Creek, Florida. Graduated from Kent State University College of Podiatric Medicine in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Trained at
Kent State University College of Podiatric Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4855 W Hillsboro Blvd Ste B6
Coconut Creek, FL 33073-4356
Phone: (561) 989-9780
Fax: (561) 989-9781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO 3133 (FL)

Record details

NPI number1104811744
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESJuly 30, 2017
Mailing address4855 W Hillsboro Blvd, Ste B6, Coconut Creek, FL 33073-4356

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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