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HEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
NPI 1942829536
Family Medicine - Adult Medicine in Winter Haven, FL

Active since April 13, 2020
2402 LAKE DR NW, WINTER HAVEN, FL 33881(863) 662-3007(863) 875-4681 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Sep 18, 2020, Jul 30, 2020 and 2 more (5 updates tracked since 2020).

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 1942829536) is a healthcare organization registered as an adult medicine in Winter Haven, Florida and active in the NPI registry since April 2020. The organization lists Maria I Diez, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1942829536
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameHEALTH MEDICAL ULTRA LIMITED LIABILITY COMPANY
Location Address2402 LAKE DR NWWinter Haven, FL 33881-5008
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 SubpartNo
Authorized OfficialMaria I DiezCredentialing Manager · (786) 399-5995
Enumeration DateApril 13, 2020
Last NPPES UpdateMay 28, 20265 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1942829536 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
2402 LAKE DR NW, Winter Haven, FL 33881
Open in Google Maps ↗

Other Identifiers 1

Medicaid100166000FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUSH CHIROPRACTIC CLINIC PA
Chiropractor
2402 LAKE DR NW
WINTER HAVEN, FL 33881
Polk County (863) 965-2999
GARY WAYNE BUSH D.C.
Chiropractor
2402 LAKE DR NW
WINTER HAVEN, FL 33881
Polk County (863) 965-2999

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 1942829536. It was assigned to this organization in the NPPES registry on April 13, 2020.

Where is Health Medical Ultra Limited Liability Company located?

Health Medical Ultra Limited Liability Company is located at 2402 Lake Dr NW, Winter Haven, FL 33881. 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.

What insurance does Health Medical Ultra Limited Liability Company accept?

Health plans from Ambetter Health and Ambetter of Alabama list Health Medical Ultra Limited Liability Company as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Health Medical Ultra Limited Liability Company was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.