Organization
ULTRA MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO S LAY (PRESIDENT)
(305) 820-2855
Entity
Organization
Contact information
Practice address
17601 NW 78TH AVE, 102, HIALEAH, FL 33015-3630
(305) 820-2855
(305) 820-1085
Mailing address
17601 NW 78TH AVE, 102, HIALEAH, FL 33015-3630
(305) 820-2855
(305) 820-1085
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH21098
FL
Other
Enumeration date
05/24/2006
Last updated
08/22/2020
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