| Optima Health Institute Inc | |
|
1456 E Michigan St Orlando FL 32806-4817 | |
| (407) 420-7691 | |
| (833) 748-0134 |
| Full Name | Optima Health Institute Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1456 E Michigan St, Orlando, Florida |
| Authorized Official Name and Position | Deborah Roark (BILLER) |
| Authorized Official Contact | 7274206646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optima Health Institute Inc 1456 E Michigan St Orlando FL 32806-4817 Ph: (407) 420-7691 | Optima Health Institute Inc 1456 E Michigan St Orlando FL 32806-4817 Ph: (407) 420-7691 |
| NPI Number | 1326622648 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 5193112316 |
|---|---|
| Medicare Enrollment ID | O20220418001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326622648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Corliss Y Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942490735 PECOS PAC ID: 8325090970 Enrollment ID: I20080404000780 |
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