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General NPI Number Information
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NPI Number | 1528992872
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Entity Type | Organization
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Legal Business Name | HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 116 COMMONWEALTH AVE SW
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City | POLK CITY
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State | FL
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Zip | 33868
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Country | US
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Telephone | 863-662-3007
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Fax | 863-875-4681
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Provider Business Mailing Address
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Address Line | 2402 LAKE DR NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-5008
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Country | US
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Telephone | 863-662-3007
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Fax | 863-875-4681
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUAN L CAPARROS GONZALEZ
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Credential | MD
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Telephone | 863-662-3007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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