ULTRA HEALTH PROVIDERS OF FLORIDA


Address: 105 Asterbrooke Dr, Deland, FL 32724
Phone: 7312348120

ULTRA HEALTH PROVIDERS OF FLORIDA (NPI# 1528549490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528549490
Entity Type Organization
Organization Name ULTRA HEALTH PROVIDERS OF FLORIDA
Practice Address 105 Asterbrooke Dr
Deland
FL 32724
Mailing Address 36 Pemberton Cv
Jackson
TN 38305-5514
Practice Telephone 7312348120
Mailing Telephone 7312348120
Enumeration Date 2018-08-28
Last Update Date 2018-08-29
Authorized Official Name MR. CHARLES R JERMAN III (CFO)
Authorized Official Telephone 7312348120
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 105 ASTERBROOKE DR
City DELAND
State FL
Zip Code 32724

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1790294742 Deland Manor Assisted Living Corp Assisted Living Facility 245 S. Amelia Ave, Deland, FL 32724 2017-09-21
1639617954 Starting Point Mental Health, LLC Counselor 620 East New York Ave Ste B, Deland, FL 32724 2017-02-07
1255877221 Emily Eunice Specialist/Technologist 2589 W Lake Dr., Deland, FL 32724 2017-01-13
1073960357 Robert Solomon Jr. Family Medicine 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 2016-05-17
1730535568 Harold Alexander Hearing Instrument Specialist 124 S. Amelia Ave, Unit #b, Deland, FL 32724 2016-05-11
1720406747 Angel Care Homes LLC Assisted Living Facility 1349 E. Wisconsin Avenue, Deland, FL 32724 2014-04-07
1508298860 Lindenlea Assisted Living Inc. Assisted Living Facility 1180 Jackson Ranch Rd, Deland, FL 32724 2013-08-08
1457581217 Christopher H Rae Dentist 131 Victoria Commons Blvd, Deland, FL 32724 2009-07-15
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205018207 Lyle E Wadsworth Md Pa Internal Medicine 890 N Boundary Ave Ste 102, Deland, FL 32720-3173 2007-11-30
1356347561 Lyle E Wadsworth Internal Medicine 890 N Boundary Ave, Ste 102, Deland, FL 32720-3173 2005-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669087722 Norma Leticia Goodrich Internal Medicine 19265 Nw 252nd St, Okeechobee, FL 34972-6966 2020-09-14
1356811897 Lake Behavioral Health Management Internal Medicine 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 2018-11-27
1710464946 Baptist Agewell Physicians Inc Internal Medicine 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 2018-07-20
1659891018 Pocketdoc Physicians Pa Internal Medicine 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 2017-06-26
1003349549 On Call Wound Care LLC Internal Medicine 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 2017-04-11
1154781284 Verimed Health Group Land O' Lakes, LLC Internal Medicine 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 2016-03-02
1083082895 Edith Maria Ortega Internal Medicine 528 Oceanfront, Neptune Beach, FL 32266 2015-09-10
1881083020 Arnold Jay Simon, M.d. Internal Medicine 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 2015-01-12
1912300575 Geriatrics and Hospitalists Associates Internal Medicine 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 2014-09-26
1396151809 Susana Gonzalez, M.d., P.a. Internal Medicine 1225 Alton Road, Miami Beach, FL 33139 2014-07-03
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Competitor

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City DELAND
Zip Code 32724

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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