ULTRA MEDICAL LLC (NPI# 1972133163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972133163 |
| Entity Type | Organization |
| Organization Name | ULTRA MEDICAL LLC |
| Practice Address |
10350 Pines Blvd Ste D103 Pembroke Pines FL 33026-6051 |
| Practice Telephone | 7542102460 |
| Mailing Telephone | 7542102460 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | MR. ALFREDO INFANTE (VP OPERATIONS) |
| Authorized Official Telephone | 7542102460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ultra Medical LLC | Former Legal Business Name - Organization |
| Street Address |
10350 PINES BLVD STE D103 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265822332 | Insight Acuclinic, Inc. | Clinic/Center | 1321 Nw 139th Ave, Pembroke Pines, FL 33028-3022 | 2015-01-28 |
| 1902175292 | De La Paz Medical and Weight Loss Pa | Clinic/Center | 12550 Pines Blvd, Pembroke Pines, FL 33027-1713 | 2011-12-15 |
| 1114223831 | Pines Care Medical Center, LLC | Clinic/Center | 501 Nw 103 Ave, Pembroke Pines, FL 33026 | 2011-01-27 |
| 1891015640 | Howard M. Graubard, Md, Pa | Clinic/Center | 603 N Flamingo Rd Ste 365, Pembroke Pines, FL 33028-1013 | 2010-06-03 |
| 1548887326 | Housecall Associates LLC | Clinic/Center | 1931 Nw 150th Ave, Pembroke Pines, FL 33028-2877 | 2020-06-29 |
| 1508400219 | Grace Oropesa LLC | Clinic/Center | 12824 Nw 21st St, Pembroke Pines, FL 33028-2534 | 2019-11-05 |
| 1972021400 | Marlene Tages Cordova, Do, Pa | Clinic/Center | 600 N Hiatus Rd Ste 201, Pembroke Pines, FL 33026-5207 | 2017-09-05 |
| 1265810634 | Carenational Clinical Management, LLC | Clinic/Center | 1806 N Flamingo Rd, 285, Pembroke Pines, FL 33028-1026 | 2015-05-18 |
| 1114310927 | Tyler & Jacob Consulting Group, LLC | Clinic/Center | 18501 Pines Blvd, Suite 300, Pembroke Pines, FL 33029-1414 | 2015-03-18 |
| 1528481850 | Children Medical Care Inc | Clinic/Center | 601 N Flamingo Rd, Suite 307, Pembroke Pines, FL 33028-1015 | 2014-01-22 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on ULTRA MEDICAL LLC.
| 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.