Health Medical Ultra Limited Liability Company

LBN: Health Medical Ultra Limited Liability Company
Health Medical Ultra Limited Liability Company is an health care organization with primary practice located at 1760 Havendale Blvd Nw , Winter Haven FL 33881-1224. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Health Medical Ultra Limited Liability Company can be contacted via phone (863) 662-3007, or through Diez, Maria I via phone (786) 399-5995.

Contact Information

Primary practice address
1760 Havendale Blvd Nw Winter Haven FL 33881-1224
Phone: (863) 662-3007
Fax: (863) 875-4681
Website:
Map and Directions
Authorized official contact:
Name: Diez, Maria I
Phone: (786) 399-5995

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1942829536
LBN Legal business name Health Medical Ultra Limited Liability Company
DBA Doing business as
Authorized official Diez, Maria I
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2020
Last updated Sep 18th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942829536 NPPES
Florida MEDICAID 100166000

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