| 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 | Jill Marie Marshall Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205877560 PECOS PAC ID: 2466408844 Enrollment ID: I20050330000118 |
| Provider Name | Jacqueline E Nurse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689106254 PECOS PAC ID: 1951678929 Enrollment ID: I20170522002901 |
| Provider Name | Nance England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619287836 PECOS PAC ID: 7719112176 Enrollment ID: I20190220000046 |
| Provider Name | Dechone Lynn Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083104335 PECOS PAC ID: 8426397738 Enrollment ID: I20190305000677 |
| Provider Name | Danna Britt Jerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750706370 PECOS PAC ID: 0648493031 Enrollment ID: I20190314000012 |
| Provider Name | Jennifer Dawn Clyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073179602 PECOS PAC ID: 8527356526 Enrollment ID: I20190611000805 |
| Provider Name | Ryanna D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112441 PECOS PAC ID: 3274878301 Enrollment ID: I20200723000291 |
| Provider Name | Tai S Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962942672 PECOS PAC ID: 5991110967 Enrollment ID: I20210903001127 |
| Provider Name | Tameka Polite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053820266 PECOS PAC ID: 5698164531 Enrollment ID: I20211115000536 |
| Provider Name | Ashley Nichole Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023716321 PECOS PAC ID: 0143686568 Enrollment ID: I20230509003072 |
| Provider Name | Syreeta Bogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962181263 PECOS PAC ID: 8628430618 Enrollment ID: I20230808000821 |
| Provider Name | Ericka Louise Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154108983 PECOS PAC ID: 3779938899 Enrollment ID: I20231010002220 |
| 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 |
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 | |
Clinical Care Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Oak Ave, Plant City, FL 33563 Phone: 813-284-7903 | |
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 | |
Suncoast Community Health Center Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N Mobley St, Suite 1, Plant City, FL 33563 Phone: 813-349-7654 Fax: 813-349-7655 | |
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 |