Provider Demographics
NPI:1730724758
Name:PASTEUR, ULRICK JAMES
Entity type:Individual
Prefix:
First Name:ULRICK
Middle Name:JAMES
Last Name:PASTEUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 RIVERTREE CIR APT 206
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-8257
Mailing Address - Country:US
Mailing Address - Phone:305-527-5428
Mailing Address - Fax:
Practice Address - Street 1:2151 RIVERTREE CIR APT 206
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-8257
Practice Address - Country:US
Practice Address - Phone:305-527-5428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker