| Ultimate Medical Clinic Llc | |
|
70 Fox Ridge Ct Ste A Debary FL 32713-2752 | |
| (386) 668-6321 | |
| Not Available |
| Full Name | Ultimate Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 70 Fox Ridge Ct Ste A, Debary, Florida |
| Authorized Official Name and Position | Jamie Grainger (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 3866686321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Medical Clinic Llc 70 Fox Ridge Ct Ste A Debary FL 32713-2752 Ph: (386) 668-6321 | Ultimate Medical Clinic Llc 70 Fox Ridge Ct Ste A Debary FL 32713-2752 Ph: (386) 668-6321 |
| NPI Number | 1922692003 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Medicare PECOS PAC ID | 4486062684 |
|---|---|
| Medicare Enrollment ID | O20210427002022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922692003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lauren Anne Eggnatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497360481 PECOS PAC ID: 3274941471 Enrollment ID: I20210427002203 |
| Provider Name | Meganne Elizabeth Mannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295472090 PECOS PAC ID: 9436531977 Enrollment ID: I20220801001848 |
Potenciano Gonzales Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 | |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 407-845-0330 | |
Premier Physician Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 301, Debary, FL 32713 Phone: 818-575-0204 | |
Florida Injury Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 N Pine Meadow Dr, Debary, FL 32713 Phone: 386-742-7312 | |
Humberto A Dominguez Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite A, Debary, FL 32713 Phone: 386-668-4411 Fax: 386-668-8688 | |
Spahana Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Spring Vista Dr, Debary, FL 32713 Phone: 386-279-3087 Fax: 386-516-6136 | |
Potenciano D Gonzales Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite B, Debary, FL 32713 Phone: 386-668-8559 Fax: 386-668-8560 |