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General NPI Number Information
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NPI Number | 1720863392
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Entity Type | Organization
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Legal Business Name | OPTIMUM CV PLLC
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 12211 REGENCY VILLAGE DR STE 9
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City | ORLANDO
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State | FL
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Zip | 32821-7813
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Country | US
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Telephone | 904-257-3886
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Fax | 904-643-3881
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Provider Business Mailing Address
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Address Line | 12211 REGENCY VILLAGE DR STE 9
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City | ORLANDO
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State | FL
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Zip | 32821-7813
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Country | US
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Telephone | 904-257-3886
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Fax | 904-643-3881
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Authorized Official
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Title or Position | OWNER/MD
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Name | CARLOS RAFAEL ZAMORA
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Credential |
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Telephone | 786-879-9126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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