Organization
ULTIMATE HEALING NURSE REGISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REMY OGUNSOLA (ADMINISTRATOR)
(813) 523-6385
Entity
Organization
Contact information
Practice address
4507 N HABANA AVE, TAMPA, FL 33614-7225
(813) 523-6385
Mailing address
4507 N HABANA AVE, TAMPA, FL 33614-7225
(813) 453-9896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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