Optimal Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OPTIMAL MEDICINE INC

Practice address

611 Druid Rd E Ste 511
Clearwater, FL 33756-3942

Phone

(727) 601-4007

Fax

(727) 250-1102

NPI assigned

Feb 27, 2019

Last updated

Jul 16, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Toni Jean

Title

Vice President

Phone

(786) 223-8765

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1154888956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DRUID RD E STE 511",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563942",
            "telephone_number": "727-601-4007",
            "fax_number": "727-250-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DRUID RD E STE 511",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563942",
            "telephone_number": "727-601-4007",
            "fax_number": "727-250-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-223-8765"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orange Medical Supply LLC

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.