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ULTIMATE CARE MEDICAL CENTER NPI 1497035364


NPI Information

NPI: 1497035364
Provider Name: ULTIMATE CARE MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3898 VIA POINCIANA
SUITE #18
LAKE WORTH, FL
ZIP 33467
Phone: (561) 969-2112
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ULTIMATE CARE MEDICAL CENTER is a clinic center in Lake Worth, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ULTIMATE CARE MEDICAL CENTER NPI is 1497035364. The provider is registered as an organization entity type.

The provider's business location address is:

3898 VIA POINCIANA
SUITE #18
LAKE WORTH, FL
ZIP 33467-951
Phone: (561) 969-2112
Fax: (561) 641-3113

The provider's authorized official is Bernadine C Henry .
The authorized official title is ARNP OWNEROwner and has the following contact phone number (561) 969-2112.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 8/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center9205733FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356418875MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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