| Optimum Health System Llc | |
|
3990 W Flagler St Ste 407 Coral Gables FL 33134-1644 | |
| (305) 456-3879 | |
| Not Available |
| Full Name | Optimum Health System Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3990 W Flagler St Ste 407, Coral Gables, Florida |
| Authorized Official Name and Position | Milenis Lopez Leon (OWNER) |
| Authorized Official Contact | 7863438781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Health System Llc 3990 W Flagler St Ste 407 Coral Gables FL 33134-1644 Ph: () - | Optimum Health System Llc 3990 W Flagler St Ste 407 Coral Gables FL 33134-1644 Ph: (305) 456-3879 |
| NPI Number | 1366226144 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 4183079528 |
|---|---|
| Medicare Enrollment ID | O20231004004182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366226144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Milenis Lopez Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417537010 PECOS PAC ID: 4486015716 Enrollment ID: I20230802001700 |
| Provider Name | Madeleidis Lopez Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265013981 PECOS PAC ID: 4486015674 Enrollment ID: I20230803004115 |
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