| Ultra Health Providers Of Florida | |
|
701 N Wilder Rd Plant City FL 33566-7547 | |
| (386) 562-4899 | |
| Not Available |
| Full Name | Ultra Health Providers Of Florida |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 N Wilder Rd, Plant City, Florida |
| Authorized Official Name and Position | Charles R Jerman (CFO) |
| Authorized Official Contact | 7312348120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Health Providers Of Florida Po Box 269092 Dept 1103 Oklahoma City OK 73126-9092 Ph: (731) 394-1145 | Ultra Health Providers Of Florida 701 N Wilder Rd Plant City FL 33566-7547 Ph: (386) 562-4899 |
| NPI Number | 1528549490 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9335487255 |
|---|---|
| Medicare Enrollment ID | O20190219000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528549490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Ann-marie Sherry Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589027 PECOS PAC ID: 3274924279 Enrollment ID: I20211230001311 |
| Provider Name | Ericka Louise Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154108983 PECOS PAC ID: 3779938899 Enrollment ID: I20231010002220 |
| Provider Name | Amanda Nicole Mancino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487416608 PECOS PAC ID: 2860838380 Enrollment ID: I20240307000030 |
| Provider Name | David Benjamin Meistrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790543213 PECOS PAC ID: 1658718424 Enrollment ID: I20240328002169 |
| Provider Name | Michelle Deneen Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548035686 PECOS PAC ID: 8921447319 Enrollment ID: I20240418000548 |
| Provider Name | Marie Theresa Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033984489 PECOS PAC ID: 8325570492 Enrollment ID: I20241014003370 |
| Provider Name | Nkemngong Roseline Ndiachi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366290504 PECOS PAC ID: 0244765451 Enrollment ID: I20241125004020 |
Joseph Larue Richter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 W Reynolds St, Plant City, FL 33563 Phone: 813-754-4242 Fax: 813-752-0512 | |
Healthpoint Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Jim Redman Pkwy, Plant City, FL 33563 Phone: 813-754-4611 Fax: 813-719-8731 | |
Z. A. Khan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Plant Ave, Plant City, FL 33563 Phone: 813-754-1871 Fax: 813-754-1872 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 S Alexander St Ste 1, Plant City, FL 33566 Phone: 813-754-3344 Fax: 813-754-3574 | |
Omar Aref Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1707 W Reynolds St, Plant City, FL 33563 Phone: 813-756-5695 Fax: 813-059-3635 |