| Optimal Health Care Center Corp | |
|
12485 Sw 137th Ave Ste 112 Miami FL 33186-4215 | |
| (786) 368-7289 | |
| Not Available |
| Full Name | Optimal Health Care Center Corp |
|---|---|
| Speciality | General Practice |
| Location | 12485 Sw 137th Ave Ste 112, Miami, Florida |
| Authorized Official Name and Position | Osvaldo Ferrer (PRESIDENT) |
| Authorized Official Contact | 7863687289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health Care Center Corp 12485 Sw 137th Ave Ste 112 Miami FL 33186-4215 Ph: (786) 368-7289 | Optimal Health Care Center Corp 12485 Sw 137th Ave Ste 112 Miami FL 33186-4215 Ph: (786) 368-7289 |
| NPI Number | 1700501475 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 12/07/2022 |
| Medicare PECOS PAC ID | 1557738788 |
|---|---|
| Medicare Enrollment ID | O20221101001868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700501475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Enrique Villa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710240718 PECOS PAC ID: 7416260864 Enrollment ID: I20150714003106 |
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