Provider Demographics
NPI:1699729533
Name:ULTIMATE MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:ULTIMATE MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-552-6411
Mailing Address - Street 1:2450 SW 137TH AVE
Mailing Address - Street 2:SUITE 226
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6332
Mailing Address - Country:US
Mailing Address - Phone:305-552-6411
Mailing Address - Fax:305-552-6412
Practice Address - Street 1:2450 SW 137TH AVE
Practice Address - Street 2:SUITE 226
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6332
Practice Address - Country:US
Practice Address - Phone:305-552-6411
Practice Address - Fax:305-552-6412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0308610001Medicare NSC