| Optimal Care Pediatrics Llc | |
|
150 Sw Chamber Ct Ste 101 Port Saint Lucie FL 34986 | |
| (772) 301-0123 | |
| Not Available |
| Full Name | Optimal Care Pediatrics Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 150 Sw Chamber Ct Ste 101, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Monique Mondesir (OWNER) |
| Authorized Official Contact | 7723010123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Care Pediatrics Llc 150 Sw Chamber Ct Ste 101 Port Saint Lucie FL 34986-3413 Ph: (772) 301-0123 | Optimal Care Pediatrics Llc 150 Sw Chamber Ct Ste 101 Port Saint Lucie FL 34986 Ph: (772) 301-0123 |
| NPI Number | 1861909384 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 12/20/2024 |
| Medicare PECOS PAC ID | 7719249523 |
|---|---|
| Medicare Enrollment ID | O20180314001756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861909384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Monique Michelle Mondesir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770894438 PECOS PAC ID: 8628330438 Enrollment ID: I20180314001872 |
| Provider Name | Lorena Sousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679000756 PECOS PAC ID: 6305115239 Enrollment ID: I20210827001653 |
| Provider Name | Kristi Mcwilliams Roske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225275209 PECOS PAC ID: 9335678473 Enrollment ID: I20250117003597 |
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