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NPI 1952359408

NPI 1952359408 : OPTIMUM HEALTH CARE INC : SPRING HILL, FL

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General NPI Number Information
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    NPI Number           |    1952359408
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPTIMUM HEALTH CARE INC 
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Dates
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    Enumeration Date     |    05/05/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    5478 SPRING HILL DRIVE 
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    City                 |    SPRING HILL
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    State                |    FL
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    Zip                  |    34606
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    Country              |    US
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    Telephone            |    352-688-9131
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    Fax                  |    352-688-6375
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Provider Business Mailing Address
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    Address Line         |    5478 SPRING HILL DRIVE 
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    City                 |    SPRING HILL
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    State                |    FL
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    Zip                  |    34606
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    Country              |    US
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    Telephone            |    352-688-9131
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    Fax                  |    352-688-6375
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Authorized Official
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    Title or Position    |    PRESIDENT CEO
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    Name                 |     PARIKSITH  SINGH 
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    Credential           |    MD
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    Telephone            |    352-688-9131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    205
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    05
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    License Number State |    FL
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