Organization Active NPI

Optima Medical of South Florida Inc

  • Primary Care Clinic/Center
  • Palm Springs, FL
National Provider Identifier
1942507298
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 95872 Issued in FL
Legal business name
OPTIMA MEDICAL OF SOUTH FLORIDA INC
Practice address
2925 10TH Ave N Ste 201B
Palm Springs, FL 33461-3046
Phone
(561) 629-7369
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dr. Ehsanul Karim, M.D.
Title
President
Phone
(561) 629-7369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 95872 FL Primary

Addresses

Primary practice location

2925 10TH Ave N Ste 201B
Palm Springs, FL 33461-3046

Mailing address

2925 10TH Ave N Ste 201B
Palm Springs, FL 33461-3046
Phone (561) 629-7369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1942507298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N STE 201B",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613046",
            "telephone_number": "561-629-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N STE 201B",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613046",
            "telephone_number": "561-629-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA MEDICAL OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "EHSANUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-629-7369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 95872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.