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Health Medical Ultra Limited Liability Company

Adult Medicine Physician in Winter Haven, FL · enumerated 2020 · authorized official Maria Diez, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942829536

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Registry record

Entity type Organization (Type 2)
Legal business name Health Medical Ultra Limited Liability Company
Practice address 2402 Lake Dr Nw, Winter Haven, FL, 33881
Fax (863) 875-4681
Enumeration date Apr 13, 2020
Last updated in NPPES May 28, 2026

Taxonomy & classification

207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Maria Diez
Title Credentialing Manager

Other identifiers

Identifier Type State Issuer
100166000 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Health Medical Ultra Limited Liability Company located?
The practice location on file with NPPES is in Winter Haven, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-28.