# HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528992872
- **Legal business name:** HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
- **Authorized official:** JUAN L CAPARROS GONZALEZ MD (PRESIDENT)
- **Authorized official phone:** (863) 662-3007

## Contact information

- **Practice address:** 116 COMMONWEALTH AVE SW, POLK CITY, FL 33868
- **Practice address phone:** (863) 662-3007
- **Practice address fax:** (863) 875-4681
- **Mailing address:** 2402 LAKE DR NW, WINTER HAVEN, FL 33881-5008
- **Mailing address phone:** (863) 662-3007
- **Mailing address fax:** (863) 875-4681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/11/2026
- **Last updated:** 06/11/2026
