| Ultimate Care Medical Center | |
|
3898 Via Poinciana Suite #18 Lake Worth FL 33467-2951 | |
| (561) 969-2112 | |
| (561) 641-3113 |
| Full Name | Ultimate Care Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 3898 Via Poinciana, Lake Worth, Florida |
| Authorized Official Name and Position | Bernadine C Henry (ARNP OWNER) |
| Authorized Official Contact | 5619692112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Care Medical Center 3898 Via Poinciana Suite #18 Lake Worth FL 33467-2951 Ph: (561) 969-2112 | Ultimate Care Medical Center 3898 Via Poinciana Suite #18 Lake Worth FL 33467-2951 Ph: (561) 969-2112 |
| NPI Number | 1497035364 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497035364 | NPI | - | NPPES |
| 1356418875 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9205733 (Florida) | Primary |
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