ULTIMATE PREVENTIVE CARE GROUP INC NPI 1003423468

Clinic/Center (Health Service) in Coral Springs, FL

NPI 1003423468 Organization Clinic/Center Health Service

About ULTIMATE PREVENTIVE CARE GROUP INC

Ultimate Preventive Care Group Inc is a provider established in Coral Springs, Florida specializing in clinic/center (health service) . The NPI number of Ultimate Preventive Care Group Inc is 1003423468 and was assigned on September 2020. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Katherine Perez Aprn (Ceo)

NPI

1003423468

Provider NameULTIMATE PREVENTIVE CARE GROUP INC
Provider Location Address5632 NW 99TH WAY CORAL SPRINGS, FL 33076
Provider Mailing Address5632 NW 99TH WAY CORAL SPRINGS, FL 33076
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-29-2020
Last Update Date09-29-2020


Primary Taxonomy

Taxonomy Code261QH0100X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHealth Service

Business Address

ULTIMATE PREVENTIVE CARE GROUP INC
5632 NW 99TH WAY
CORAL SPRINGS, FL
ZIP 33076
Phone: (954) 326-0613

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Mailing Address

ULTIMATE PREVENTIVE CARE GROUP INC
5632 NW 99TH WAY
CORAL SPRINGS, FL
ZIP 33076
Phone: (954) 326-0613



Authorized Official

Authorized Official Name KATHERINE PEREZ APRN
Authorized Official TitleCEO
Authorized Official Phone(954) 326-0613

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1669933974OTHER (01)FL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669933974 KATHERINE PEREZ APRN
Individual
Nurse Practitioner5632 NW 99TH WAY
CORAL SPRINGS, FL 33076
(954) 326-0613

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.