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

Mr. Fernando M Ulloa, APRN

Individual provider Registered Nurse · NPI 1043459563

Mr. Fernando M Ulloa, APRN is a Nurse Practitioner in Palm Coast, Florida. Qualified in 2021, 5 years ago. Practices with Advanced Urology Institute LLC, a 149-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
5
Licensed in
FL, NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

61 Memorial Medical Pkwy Ste 3803
Palm Coast, FL 32164-5982
Phone: (718) 721-1674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11025366 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 574074-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN9623430 (FL)

Record details

NPI number1043459563
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedFebruary 5, 2009
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Urology Institute Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Palm Coast