Health Medical Ultra Limited Liability Company
NPI #1942829536 in Winter Haven, Florida
Provider Information
- NPI Number
- 1942829536
- Entity Type
- Organization
- Organization Name
- Health Medical Ultra Limited Liability Company
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Apr 13, 2020
- Last Updated
- Sep 18, 2020
Practice Location
- Address
- 1760 HAVENDALE BLVD NW
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-1224
- Phone
- (863) 662-3007
Authorized Official
- Name
- MARIA I DIEZ
- Title
- CREDENTIALING MANAGER
- Phone
- (786) 399-5995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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