Optimum Care Clinic | |
2642 Eagle Lake Dr Clermont FL 34711-6325 | |
(352) 234-8612 | |
Not Available |
Full Name | Optimum Care Clinic |
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Speciality | Nurse Practitioner |
Location | 2642 Eagle Lake Dr, Clermont, Florida |
Authorized Official Name and Position | Edeline Dardignac (CEO) |
Authorized Official Contact | 3522348612 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimum Care Clinic 614 E Hwy 50 Clermont FL 34711-3164 Ph: (352) 234-8612 | Optimum Care Clinic 2642 Eagle Lake Dr Clermont FL 34711-6325 Ph: (352) 234-8612 |
NPI Number | 1316691579 |
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Provider Enumeration Date | 02/07/2022 |
Last Update Date | 06/07/2022 |
Certification Date | 06/07/2022 |
Medicare PECOS PAC ID | 9638545650 |
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Medicare Enrollment ID | O20221017001831 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316691579 | NPI | - | NPPES |
Provider Name | Edeline Dardignac |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639306939 PECOS PAC ID: 3870877129 Enrollment ID: I20170304000100 |
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