Active NPI
Care Optimum Family Health Services, LLC
- Family Medicine Physician
- Hollywood, FL
National Provider Identifier
1265834881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME114969
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Jean, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HJ886Z | Other | FL | MEDICARE |
| 009141400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1376862987
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
- Sherrille Cardona, APRN
- Scott C Cardone, M.D.
- Ramon Tadeo Cardoso, MD
- Care and Comfort Management LLC (Holy Garden ALF of Hollywood)
- Care Medical Centers Inc
- Care Source One Transportation Service LLC
- Carevantage Medical Centers of Broward at Stirling Road,LLC
- Cari Solorzano and Associates (6100 Community Health Group)
- Caring Heart Home Health Services, LLC
- Caring Professional Healthcare, LLC
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.