# ULTIMATECARE REHAB & WELLNESS INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164698296
- **Authorized official:** ELVIS E. LOPEZ MSPT (CLINIC DIRECTOR)
- **Authorized official phone:** (561) 495-6911

## Contact information

- **Practice address:** 5341 W ATLANTIC AVE STE 303, DELRAY BEACH, FL 33484-8166
- **Practice address phone:** (561) 495-6911
- **Practice address fax:** (561) 495-6910
- **Mailing address:** 5341 W ATLANTIC AVE STE 303, DELRAY BEACH, FL 33484-8166
- **Mailing address phone:** (561) 495-6911
- **Mailing address fax:** (561) 495-6910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | PT22428 | FL | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008