Organization
ULTIMATE MEDICAL CENTER & SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIDAD FONTE ESTEVEZ (OWNER)
(305) 278-7579
Entity
Organization
Contact information
Practice address
12700 SW 128TH ST STE 205, MIAMI, FL 33186-5378
(305) 278-7579
(305) 278-7589
Mailing address
12700 SW 128TH ST STE 205, MIAMI, FL 33186-5378
(305) 278-7579
(305) 278-7589
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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