| Optimized Health | |
|
959 West Ave Ste 17 Miami Beach FL 33139-5214 | |
| (786) 490-6200 | |
| (954) 634-4293 |
| Full Name | Optimized Health |
|---|---|
| Speciality | Family Medicine |
| Location | 959 West Ave Ste 17, Miami Beach, Florida |
| Authorized Official Name and Position | Jeffrey T Baker (OWNER) |
| Authorized Official Contact | 7864906200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimized Health 18473 Sw 89th Pl Miami FL 33157-7162 Ph: (786) 490-6200 | Optimized Health 959 West Ave Ste 17 Miami Beach FL 33139-5214 Ph: (786) 490-6200 |
| NPI Number | 1245884535 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 02/22/2023 |
| Medicare PECOS PAC ID | 5799118360 |
|---|---|
| Medicare Enrollment ID | O20191212001571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245884535 | NPI | - | NPPES |
| OS12833 | Other | FL | OS12833 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey T Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528487808 PECOS PAC ID: 9032420864 Enrollment ID: I20150622000607 |
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