| Optimal Living Center | |
|
9425 Sw 72nd St Ste 267 Miami FL 33173-5457 | |
| (305) 981-6806 | |
| Not Available |
| Full Name | Optimal Living Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9425 Sw 72nd St Ste 267, Miami, Florida |
| Authorized Official Name and Position | Jose Bermudez (PSYCHOLOGIST) |
| Authorized Official Contact | 3059816806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Living Center 9425 Sw 72nd St Ste 267 Miami FL 33173-5457 Ph: (305) 981-6806 | Optimal Living Center 9425 Sw 72nd St Ste 267 Miami FL 33173-5457 Ph: (305) 981-6806 |
| NPI Number | 1518347699 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 5294176889 |
|---|---|
| Medicare Enrollment ID | O20240514002116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518347699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY7105 (Florida) | Primary |
| Provider Name | Jose Bermudez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629466958 PECOS PAC ID: 6103267794 Enrollment ID: I20240514002237 |
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