Organization
ULTIMATE CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADINE C HENRY ARNP (ARNP OWNER)
(561) 969-2112
Entity
Organization
Contact information
Practice address
3898 VIA POINCIANA, SUITE #18, LAKE WORTH, FL 33467-2951
(561) 969-2112
(561) 641-3113
Mailing address
3898 VIA POINCIANA, SUITE #18, LAKE WORTH, FL 33467-2951
(561) 969-2112
(561) 641-3113
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9205733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356418875
—
FL
Enumeration date
08/24/2011
Last updated
08/24/2011
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