Healthcare Provider Details

I. General information

NPI: 1245052984
Provider Name (Legal Business Name): OPTIMAL SALUD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE STE 706
HIALEAH FL
33016-1814
US

IV. Provider business mailing address

9800 SHERIDAN ST APT 104
PEMBROKE PINES FL
33024-3072
US

V. Phone/Fax

Practice location:
  • Phone: 786-247-2538
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CECIL E PARDAVE
Title or Position: OWNER
Credential: DC
Phone: 786-247-2538