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1942829536
HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
WINTER HAVEN, FL
NPI
1942829536
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Entity Type
Organization
Authorized Contact
MARIA I DIEZ
Credentialing Manager
786-399-5995
Organization Subpart ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
Enumeration Date
2020-04-13
Last Update Date
2020-09-18
Business Address
HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
1760 HAVENDALE BLVD NW
WINTER HAVEN, FL 33881-1224
Phone number: 863-662-3007
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Mailing Address
HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
1760 HAVENDALE BLVD NW
WINTER HAVEN, FL 33881-1224
Phone number: 939-235-8227
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