Optima Medical Centers of Central Florida LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OPTIMA MEDICAL CENTERS OF CENTRAL FLORIDA LLC

Practice address

15476 NW 77TH CT
#292
Miami Lakes, FL 33016-5823

Phone

(305) 766-0307

NPI assigned

Jun 5, 2015

Organization subpart

Yes

Parent organization

METRO HEALTH INVESTMENTS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jose Arencibia

Title

President

Phone

(305) 766-0307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1174903074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15476 NW 77TH CT",
            "address_2": "#292",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "305-766-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15476 NW 77TH CT",
            "address_2": "#292",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "305-766-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA MEDICAL CENTERS OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO HEALTH INVESTMENTS LLC",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "ARENCIBIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-766-0307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.