Healthcare Provider Details

I. General information

NPI: 1770495988
Provider Name (Legal Business Name): OPTIMA INFUSION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 W MICHIGAN ST STE 202
ORLANDO FL
32806-4466
US

IV. Provider business mailing address

3232 PLAYERS VIEW CIR
LONGWOOD FL
32779-3154
US

V. Phone/Fax

Practice location:
  • Phone: 407-212-3059
  • Fax: 407-212-3045
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AJAYKUMAR R PATEL
Title or Position: PRESIDENT
Credential:
Phone: 407-212-3059