Organization Active NPI

Care Optimum Family Health Services, LLC

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1265834881
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114969 Issued in FL
Legal business name
CARE OPTIMUM FAMILY HEALTH SERVICES, LLC
Practice address
4651 Sheridan St
Suite 250
Hollywood, FL 33021-3457
Phone
(754) 210-7919
Fax
(754) 210-7918
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Linda Jean, M.D.NPI 1376862987
Title
Family Medicine Physician
Phone
(786) 262-9007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME114969 FL Primary

Addresses

Primary practice location

4651 Sheridan St
Suite 250
Hollywood, FL 33021-3457

Mailing address

4651 Sheridan St
Suite 250
Hollywood, FL 33021-3457
Phone (754) 210-7919

Other identifiers 2

IdentifierTypeStateIssuer
HJ886ZOtherFLMEDICARE
009141400MedicaidFL

National Provider Directory

National Provider Directory

Locations

4651 Sheridan St
Ste 250
Hollywood, FL 33021
Phone (754) 210-7919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1265834881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213457",
            "telephone_number": "754-210-7919",
            "fax_number": "754-210-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213457",
            "telephone_number": "754-210-7919",
            "fax_number": "754-210-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE OPTIMUM FAMILY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "786-262-9007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HJ886Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009141400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.