Center for Optimal Life

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PY8137 Issued in FL

Legal business name

CENTER FOR OPTIMAL LIFE

Practice address

523 Boca Chica Cir
101
Ocoee, FL 34761-4891

Phone

(202) 247-1137

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Washington, PH.D

Title

President

Phone

(202) 247-1137

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1285935882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 BOCA CHICA CIR",
            "address_2": "101",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614891",
            "telephone_number": "202-247-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 BOCA CHICA CIR",
            "address_2": "101",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614891",
            "telephone_number": "202-247-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR OPTIMAL LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-247-1137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "PY8137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.