Optimal Healthcare Llc | |
153 Ana Dr Florence AL 35630-1731 | |
(256) 367-0920 | |
Not Available |
Full Name | Optimal Healthcare Llc |
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Speciality | Clinic/Center |
Location | 153 Ana Dr, Florence, Alabama |
Authorized Official Name and Position | Amberly Smith (OWNER) |
Authorized Official Contact | 2563670920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimal Healthcare Llc 153 Ana Dr Florence AL 35630-1731 Ph: (256) 367-0920 | Optimal Healthcare Llc 153 Ana Dr Florence AL 35630-1731 Ph: (256) 367-0920 |
NPI Number | 1770267387 |
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Provider Enumeration Date | 06/14/2023 |
Last Update Date | 07/07/2023 |
Medicare PECOS PAC ID | 6901268887 |
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Medicare Enrollment ID | O20230809001016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770267387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Evans N Mize |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831414358 PECOS PAC ID: 6709031750 Enrollment ID: I20160125001896 |
Provider Name | Hillary J Delarosa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942612155 PECOS PAC ID: 9234404245 Enrollment ID: I20171002000578 |
Provider Name | Amberly Dawn Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568014751 PECOS PAC ID: 0547697617 Enrollment ID: I20200302001657 |
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