Organization
ULTRA HEALTH PROVIDERS OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MARTINEZ (CEO)
(731) 394-1145
Entity
Organization
Contact information
Practice address
217 6TH AVE N STE 43952, NASHVILLE, TN 37219-1903
(731) 394-1145
Mailing address
PO BOX 269092, DEPT 1103, OKLAHOMA CITY, OK 73126-9092
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123172200
—
FL
05
—
123172201
—
FL
05
—
123172202
—
FL
05
—
123172203
—
FL
Enumeration date
08/28/2018
Last updated
07/14/2026
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