OPTIMAL HEALTH CLINIC INC NPI 1750971404

NPI Information

NPI: 1750971404
Provider Name: OPTIMAL HEALTH CLINIC INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
28315 S TAMIAMI TRL STE 101
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 947-1177
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OPTIMAL HEALTH CLINIC INC is a multi-specialty clinic center in Bonita Springs, FL. OPTIMAL HEALTH CLINIC INC NPI is 1750971404. The provider is registered as an organization entity type.

The provider's business location address is:

28315 S TAMIAMI TRL STE 101
BONITA SPRINGS, FL
ZIP 34134-217
Phone: (239) 947-1177

The provider's authorized official is Gary Gendron .
The authorized official title is Owner and has the following contact phone number (235) 947-1177.

The enumeration date for this NPI number is 1/26/2021 and was last updated on 1/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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