ULTIMATE PREVENTIVE CARE GROUP INC (NPI# 1003423468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003423468 |
| Entity Type | Organization |
| Organization Name | ULTIMATE PREVENTIVE CARE GROUP INC |
| Practice Address |
5632 Nw 99th Way Coral Springs FL 33076-2829 |
| Practice Telephone | 9543260613 |
| Mailing Telephone | 9543260613 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | KATHERINE PEREZ (CEO) |
| Authorized Official Telephone | 9543260613 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1669933974 | 01 |
| Street Address |
5632 NW 99TH WAY |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33076-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669933974 | Katherine Perez | Nurse Practitioner | 5632 Nw 99th Way, Coral Springs, FL 33076-2829 | 2019-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589134 | Zachary Scott Johnson | Dietitian, Registered | 10150 Nw 58th Ct, Parkland, FL 33076 | 2020-05-18 |
| 1730709692 | Zach Carl Rice | Counselor | 12155 Nw, 71st, Parkland, FL 33076 | 2020-04-21 |
| 1184268062 | Saul Grabosky | Pharmacist | 6001 Coral Ridge Drive, Coral Springs, FL 33076 | 2019-11-04 |
| 1295205359 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4621 Coral Ridge Dr., Coral Springs, FL 33076 | 2018-12-03 |
| 1497263636 | Nathalie Toro | Behavioral Analyst | 7796 Nw 110th Dr., Parkland, FL 33076 | 2018-01-22 |
| 1124532668 | Melissa Danielle Winter | Developmental Therapist | 8191 Canopy Ter, Parkland, FL 33076 | 2017-11-20 |
| 1821510546 | Sheryl Santiago Delgado | Physical Therapist | 4789 Nw 116th Ter, Coral Springs, FL 33076 | 2017-07-14 |
| 1730600453 | Ieda Schumacher Faircloth | Surgery | 4811 Nw 103 Drive, Coral Springs, FL 33076 | 2017-07-03 |
| 1679015069 | Riley Nguyen | Physical Therapy Assistant | 5830 Coral Ridge Drive S-300, Coral Springs, FL 33076 | 2016-11-16 |
| 1508313578 | Paola Alejandra Kesman | Dentist | 11980 Nw 81 Court, Parkland, FL 33076 | 2016-09-07 |
| Find all providers in zip 33076 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1083063945 | Health Care Clinic At Walgreens | Clinic/Center | 1724 Nw 126th Dr, Coral Springs, FL 33071 | 2016-06-10 |
| 1689865131 | Barry Lee Hummel Jr. | Clinic/Center | 5944 Coral Ridge Dr # 255, Coral Springs, FL 33076 | 2007-08-08 |
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| Find all providers with the same taxonomy | ||||
| City | CORAL SPRINGS |
| Zip Code | 33076 |
Please comment or provide details below to improve the information on ULTIMATE PREVENTIVE CARE GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.