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 1942829536

Health Medical Ultra Limited Liability Company is an Adult Medicine Physician in Winter Haven, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

2402 Lake Dr NW
Winter Haven, FL 33881-5008
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 number1942829536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Diez — Credentialing Manager · (786) 399-5995
NPI enumeratedApril 13, 2020
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address2402 Lake Dr Nw, Winter Haven, FL 33881-5008

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