| Ultra Healthcare Services Inc | |
|
21913 Us Hwy 19 N Clearwater FL 33765 | |
| (727) 669-5525 | |
| (727) 669-8589 |
| Full Name | Ultra Healthcare Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21913 Us Hwy 19 N, Clearwater, Florida |
| Authorized Official Name and Position | Donna Jean Damiani (PRESIDENT) |
| Authorized Official Contact | 7276695525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Healthcare Services Inc 21913 Us Hwy 19 N Clearwater FL 33765 Ph: (727) 669-5525 | Ultra Healthcare Services Inc 21913 Us Hwy 19 N Clearwater FL 33765 Ph: (727) 669-5525 |
| NPI Number | 1154428597 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 9436112794 |
|---|---|
| Medicare Enrollment ID | O20041108000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154428597 | NPI | - | NPPES |
| 030359300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC5325 (Florida) | Primary |
| 335V00000X | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier | HCC5325 (Florida) | Secondary |
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