| Optimal Healthcare LLC | |
|
153 Ana Dr Florence AL 35630-1731 | |
| (256) 367-0920 | |
| Not Available |
| Full Name | Optimal Healthcare LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 153 Ana Dr, Florence, Alabama |
| Authorized Official Name and Position | Amberly Smith (OWNER) |
| Authorized Official Contact | 2563670920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Healthcare LLC 153 Ana Dr Florence AL 35630-1731 Ph: (256) 367-0920 | Optimal Healthcare LLC 153 Ana Dr Florence AL 35630-1731 Ph: (256) 367-0920 |
| NPI Number | 1770267387 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 6901268887 |
|---|---|
| Medicare Enrollment ID | O20230809001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770267387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Evans N Mize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831414358 PECOS PAC ID: 6709031750 Enrollment ID: I20160125001896 |
| Provider Name | Hillary J Delarosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942612155 PECOS PAC ID: 9234404245 Enrollment ID: I20171002000578 |
| Provider Name | Amberly Dawn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568014751 PECOS PAC ID: 0547697617 Enrollment ID: I20200302001657 |
| Provider Name | Katelyn M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205793759 PECOS PAC ID: 9638646334 Enrollment ID: I20260430001968 |
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