Healthcare Provider Details

I. General information

NPI: 1831000298
Provider Name (Legal Business Name): OPTIMAL HEALTH PRIVATE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 MICHIGAN AVE STE 300
MIAMI BEACH FL
33139-2561
US

IV. Provider business mailing address

1691 MICHIGAN AVE STE 300
MIAMI BEACH FL
33139-2561
US

V. Phone/Fax

Practice location:
  • Phone: 305-538-3828
  • Fax: 305-538-1979
Mailing address:
  • Phone: 305-538-3828
  • Fax: 305-538-1979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LORMAND
Title or Position: COO
Credential: RN
Phone: 305-538-3828