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Physician Requisition Form

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Physician Requisition FormJosh Schlau2026-03-25T14:17:47-04:00

Established in 1991

Ultra Healthcare Services, Inc.

21913 U.S. Highway 19 N.
Clearwater, FL 33765
Phone: 727-669-5525
Toll Free: 800-557-8787
Fax: 727-669-8589
  • Home
  • Order Service
  • Login
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  • X-Ray
  • Ultrasound
  • Reports
  • Employment

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Ultra Healthcare Services, Inc.

21913 U.S. Highway 19 N.
Clearwater, FL 33765
Phone: 727-669-5525
Toll Free: 800-557-8787
Fax: 727-669-8589
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Ultra Healthcare Services, Inc.

21913 U. S. Highway 19 N., Clearwater, FL 33765

Phone: 1-800-557-8787

Fax: 727-669-8589

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We only accept orders from medical personnel. Please fax a copy of the signed order to 727-669-8589.

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