Active NPI
Optimus Health & Wellness Center LLC
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OPTIMUS HEALTH & WELLNESS CENTER LLC
- Practice address
- 6802 W Hillsborough Ave Ste 4
Tampa, FL 33634-5004 - Phone
- (813) 270-5227
- NPI assigned
- Sep 8, 2025
- 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
- Liut Ivon De la Rosa, APRN
- Title
- Owner/Provider
- Phone
- (813) 270-5227
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 | Primary |
Addresses
Primary practice location
6802 W Hillsborough Ave Ste 4
Tampa, FL 33634-5004
Mailing address
6802 W Hillsborough Ave Ste 4
Tampa, FL 33634-5004
Phone (813) 270-5227
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2331846 | Optimus Health & Wellness Center LLC | Certificate of waiver | Oct 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
6802 W Hillsborough Ave
Ste 4
Tampa, FL 33634
Phone (813) 270-5227
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1831075928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1477433571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 W HILLSBOROUGH AVE STE 4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345004",
"telephone_number": "813-270-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6802 W HILLSBOROUGH AVE STE 4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345004",
"telephone_number": "813-270-5227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUS HEALTH & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "DE LA ROSA",
"authorized_official_first_name": "LIUT",
"authorized_official_middle_name": "IVON",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "813-270-5227",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.