ULTRA HEALTHCARE SERVICES, INC
Ambulatory Health at Us Highway 19, Clearwater, FL

License number
Florida HCC5325
Category
Ambulatory Health
Type
Radiology, Mobile
Owner
Name: DONNA JEAN DAMIANI
Title: PRESIDENT/ OWNER
Phone: (727) 669-5525
Address
Address
21913 Us Highway 19 N, Clearwater, FL 33765
National Provider ID: 1255672333
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ULTRA HEALTHCARE SERVICES, INC

21913 Us Hwy 19 N, Clearwater, FL 33765

Status:
Inactive
Industry:
Medical Laboratory
Inactive reason:
REINSTATEMENT
Registration:
Jul 5, 1991
Inactive since:
Oct 21, 2003
Site:
ultrahealthcareservices.com
Phone:
(727) 669-5525 (Phone)
State ID:
S65189
Business type:
Florida Profit Corporation
President, Director:
Donna Damiani (President, Director), 8131 Channel Dr, Port Richey, FL 34668 (Physical)
Agent:
Olsen, Robert,501 E Kennedy Blvd SUITE 1700, Tampa, FL 33602 (Physical)
EIN:
593074162
Categories:
Medical & Dental X-Ray Laboratories

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