Organization
ULTRA HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA JEAN DAMIANI (PRESIDENT)
(727) 669-5525
Entity
Organization
Contact information
Practice address
21913 US HWY 19 N, CLEARWATER, FL 33765
(727) 669-5525
(727) 669-8589
Mailing address
21913 US HWY 19 N, CLEARWATER, FL 33765
(727) 669-5525
(727) 669-8589
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC5325
FL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
HCC5325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030359300
—
FL
Enumeration date
09/20/2006
Last updated
11/17/2010
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