NPI | 1316691579 |
---|---|
Doing Business As | OPTIMUM CARE CLINIC |
Entity Type | Organization |
Authorized Contact | EDELINE DARDIGNAC CEO 352-234-8612 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 251S00000X |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-06-07 |