Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
NPI 1528992872
Family Medicine - Adult Medicine in Polk City, FL

Q: What is Health Medical Ultra Limited Liability Company's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since June 11, 2026CLIA 10D2195550 · Waiver

116 COMMONWEALTH AVE SW, POLK CITY, FL 33868(863) 662-3007(863) 875-4681 Get Directions Write a Review

NPPES record added: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Health Medical Ultra Limited Liability Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY (NPI 1528992872) is a healthcare organization registered as an adult medicine in Polk City, Florida and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Juan L Caparros Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1528992872

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameHEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY

Location Address116 COMMONWEALTH AVE SWPolk City, FL 33868

Mailing Address2402 Lake Dr NwWinter Haven, FL 33881-5008 · (863) 662-3007 · Fax (863) 875-4681

Phone(863) 662-3007

Fax(863) 875-4681

Organization SubpartYes

Authorized OfficialJuan L Caparros GonzalezPresident · (863) 662-3007

Enumeration DateJune 11, 2026

NPPES CertifiedMay 28, 2026

✔ NPI 1528992872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

116 COMMONWEALTH AVE SW, Polk City, FL 33868

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2195550

Health Medical Ultra LLC · Winter Haven, FL

Active · expires Oct 8, 2026

CLIA Number10D2195550

Laboratory TypePhysician Office

Certificate Effective DateOctober 9, 2024

Certificate Expiration DateOctober 8, 2026

Laboratory DirectorJuan Caparros L. Gonzalez

Laboratory Phone(863) 662-3007

Laboratory LocationHealth Medical Ultra LLC2402 Lake Dr NW, Winter Haven, FL 33881

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Medical Ultra Limited Liability Company's NPI number?

The NPI number for Health Medical Ultra Limited Liability Company is 1528992872. It was assigned to this organization in the NPPES registry on June 11, 2026.

Where is Health Medical Ultra Limited Liability Company located?

Health Medical Ultra Limited Liability Company is located at 116 Commonwealth Ave SW, Polk City, FL 33868. The listed phone number is (863) 662-3007.

What is Health Medical Ultra Limited Liability Company's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Health Medical Ultra Limited Liability Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2195550) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health Medical Ultra Limited Liability Company was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.