Organization
ULTRA MEDICAL AND REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE JOY PHILLIPS (PRESIDENT)
(786) 554-8616
Entity
Organization
Contact information
Practice address
6363 TAFT STREET, SUITE 315, HOLLYWOOD, FL 33024
(786) 554-8616
(954) 987-1355
Mailing address
6363 TAFT STREET, SUITE 315, HOLLYWOOD, FL 33024
(786) 554-8616
(954) 987-1355
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
ME20376
FL
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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