Organization
ULTRA MEDICAL LLC
Active
Other names
Ultra Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO INFANTE (VP OPERATIONS)
(754) 210-2460
Entity
Organization
Contact information
Practice address
10350 PINES BLVD STE D103, PEMBROKE PINES, FL 33026-6051
(754) 210-2460
Mailing address
10350 PINES BLVD STE D103, PEMBROKE PINES, FL 33026-6051
(754) 210-2460
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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