Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Health Medical Ultra Limited Liability Company

Organization Adult Medicine Physician · NPI 1528992872

Health Medical Ultra Limited Liability Company is an Adult Medicine Physician in Polk City, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

116 Commonwealth Ave SW
Polk City, FL 33868
Phone: (863) 662-3007
Fax: (863) 875-4681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
General Practice Physician Taxonomy 208D00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1528992872
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHealth Medical Ultra Limited Liability Company
Authorized official Juan Caparros Gonzalez — President · (863) 662-3007
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateMay 28, 2026
Mailing address2402 Lake Dr Nw, Winter Haven, FL 33881-5008