OPTIMAL HEALTH MEDICAL CENTER INC
NPI 1194296954
General Practice in Miami Gardens, FL

Active since December 05, 2018CLIA 10D2160829 · Waiver
17235 NW 27TH AVE, MIAMI GARDENS, FL 33056(305) 705-4024 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2023, Mar 6, 2019, Dec 5, 2018 (3 updates tracked since 2018).

About Optimal Health Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMAL HEALTH MEDICAL CENTER INC (NPI 1194296954) is a healthcare organization registered as a general practice in Miami Gardens, Florida and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Abraham Hollist, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194296954
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOPTIMAL HEALTH MEDICAL CENTER INC
Location Address17235 NW 27TH AVEMiami Gardens, FL 33056-4418
Mailing Address17235 Nw 27th AveMiami Gardens, FL 33056-4418 · (305) 705-4024
Organization SubpartNo
Authorized OfficialAbraham HollistCeo · (305) 465-3203
Enumeration DateDecember 5, 2018
Last NPPES UpdateMay 23, 20233 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
NPI 1194296954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
17235 NW 27TH AVE, Miami Gardens, FL 33056

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2160829

Optimal Health Medical Center · Miami Gardens, FL
Active · expires Jan 17, 2027
CLIA Number10D2160829
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorFanuel Dorilas
Laboratory Phone(305) 705-4024
Laboratory LocationOptimal Health Medical Center17235 NW 27 Ave, Miami Gardens, FL 33056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Clinic Pharmacy)
17235 NW 27TH AVE
MIAMI GARDENS, FL 33056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Health Medical Center Inc's NPI number?

The NPI number for Optimal Health Medical Center Inc is 1194296954. It was assigned to this organization in the NPPES registry on December 5, 2018.

Where is Optimal Health Medical Center Inc located?

Optimal Health Medical Center Inc is located at 17235 NW 27th Ave, Miami Gardens, FL 33056. The listed phone number is (305) 705-4024.

What is Optimal Health Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Optimal Health Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2160829) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimal Health Medical Center Inc accept?

Health plans from AvMed and Wellpoint list Optimal Health Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optimal Health Medical Center Inc was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.