| Optimum Primary Care, Llc | |
|
750 Harrison Ave Panama City FL 32401-2524 | |
| (850) 215-4540 | |
| Not Available |
| Full Name | Optimum Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Harrison Ave, Panama City, Florida |
| Authorized Official Name and Position | Wael Farid (PHYSICIAN) |
| Authorized Official Contact | 2017579526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Primary Care, Llc Po Box 16528 Panama City FL 32406-6528 Ph: () - | Optimum Primary Care, Llc 750 Harrison Ave Panama City FL 32401-2524 Ph: (850) 215-4540 |
| NPI Number | 1902049034 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 09/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902049034 | NPI | - | NPPES |
| 29925 | Other | FL | BCBS |
| 280906100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 99885 (Florida) | Primary |
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