Organization

Ultimate Care Medical Center

Clinic/Center in Lake Worth, FL(View on Map)

Legal Business Name

Ultimate Care Medical Center

NPI Number

1497035364

NPI Type

Organization

Enumeration Date

08/24/2011

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9205733

Contact
Information

Purpose

Mailing
Location

Address

3898 VIA POINCIANA
3898 VIA POINCIANA

City

Lake Worth
Lake Worth

State

FL
FL

Postal Code

33467-2951
33467-2951

Country

US
US

Telephone Number

(561) 969-2112
(561) 969-2112

Authorized Official

Name

Bernadine Henry

Title or Position

ARNP OWNER

Telephone Number

(561) 969-2112

Identifiers

Identifier

1356418875

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/24/2011

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