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OPTIMIZED LIVING CENTERS PC NPI 1629369038


NPI Information

NPI: 1629369038
Provider Name: OPTIMIZED LIVING CENTERS, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1417 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-6053
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OPTIMIZED LIVING CENTERS, PC is a family medicine in Cape Girardeau, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OPTIMIZED LIVING CENTERS, PC NPI is 1629369038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1417 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63701-171
Phone: (573) 334-6053
Fax: (573) 334-7855

The provider's authorized official is Anthony J Keele .
The authorized official title is Owner and has the following contact phone number (573) 334-6053.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2002008827MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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