Optimal Living Clinic, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

OPTIMAL LIVING CLINIC, LLC

Practice address

13950 W Hillsborough Ave
Tampa, FL 33635-9656

Phone

(813) 843-9799

NPI assigned

Jun 16, 2014

Last updated

Jul 1, 2014By 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

Mrs. Samantha Davis Cheever, AP

Title

Owner/Operator

Phone

(813) 843-9799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1316351554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359656",
            "telephone_number": "813-843-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359656",
            "telephone_number": "813-843-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL LIVING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "CHEEVER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "813-843-9799",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Tampa, FL
• Providers in Tampa, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.