Organization Active NPI

Optima Health Institute Inc

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1326622648
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMA HEALTH INSTITUTE INC
Practice address
1456 E Michigan St
Orlando, FL 32806-4817
Phone
(407) 420-7691
Fax
(833) 748-0134
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Mrs. Deborah Roark
Title
Biller
Phone
(727) 420-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1456 E Michigan St
Orlando, FL 32806-4817

Mailing address

1456 E Michigan St
Orlando, FL 32806-4817
Phone (407) 420-7691

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tampa Direct

National Provider Directory

National Provider Directory

Locations

1456 E Michigan St
Orlando, FL 32806
Phone (407) 420-7691

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1326622648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064817",
            "telephone_number": "407-420-7691",
            "fax_number": "833-748-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064817",
            "telephone_number": "407-420-7691",
            "fax_number": "833-748-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "727-420-6646",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tampa",
            "address_1": "1456 E Michigan St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328064817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.