Organization
ULTRA CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA REYES (OWNER/PRESIDENT)
(832) 794-5758
Entity
Organization
Contact information
Practice address
27 HOMESTEAD RD N STE 55, LEHIGH ACRES, FL 33936-6673
(239) 369-2055
(239) 303-2463
Mailing address
27 HOMESTEAD RD N STE 55, LEHIGH ACRES, FL 33936-6673
(239) 369-2055
(239) 303-2463
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103275400
—
FL
Enumeration date
06/18/2019
Last updated
02/02/2021
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