| Optimal Health Medical Center Inc | |
|
17235 Nw 27th Ave Miami Gardens FL 33056-4418 | |
| (305) 705-4024 | |
| Not Available |
| Full Name | Optimal Health Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 17235 Nw 27th Ave, Miami Gardens, Florida |
| Authorized Official Name and Position | Abraham Hollist (CEO) |
| Authorized Official Contact | 3054653203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health Medical Center Inc 17235 Nw 27th Ave Miami Gardens FL 33056-4418 Ph: (305) 705-4024 | Optimal Health Medical Center Inc 17235 Nw 27th Ave Miami Gardens FL 33056-4418 Ph: (305) 705-4024 |
| NPI Number | 1194296954 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 4789918921 |
|---|---|
| Medicare Enrollment ID | O20190621002709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194296954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Tomas Wharton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003157017 PECOS PAC ID: 2769628775 Enrollment ID: I20160113002208 |
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