Organization
ULTIMATE HMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RECAREY (CHIEF EXECUTIVE OFFICER)
(305) 492-2233
Entity
Organization
Contact information
Practice address
6355 NW 36TH ST, SUITE # 604, VIRGINIA GARDENS, FL 33166-7027
(305) 492-2233
(305) 492-2255
Mailing address
6355 NW 36TH ST, SUITE # 604, VIRGINIA GARDENS, FL 33166-7027
(305) 492-2233
(305) 492-2255
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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