OPTIMUM MEDICAL AND AESTHETIC CARE LLC
NPI 1922984079
Clinic/Center - Primary Care in Plantation, FL

Active since August 14, 2025CLIA 10D2330259 · Waiver
7500 NW 5TH ST STE 105, PLANTATION, FL 33317(754) 243-7774 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optimum Medical And Aesthetic Care Llc NPPES

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

OPTIMUM MEDICAL AND AESTHETIC CARE LLC (NPI 1922984079) is a healthcare organization registered as a primary care in Plantation, Florida and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Suzette Marseille, Aprn, as its authorized official.

NPPES Registry Identity

NPI1922984079
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOPTIMUM MEDICAL AND AESTHETIC CARE LLC
Location Address7500 NW 5TH ST STE 105Plantation, FL 33317-1612
Mailing Address7500 Nw 5th St Ste 105Plantation, FL 33317-1612 · (754) 243-7774
Organization SubpartNo
Authorized OfficialSuzette MarseilleAprn · (954) 709-4691
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1922984079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
7500 NW 5TH ST STE 105, Plantation, FL 33317

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optimum Medical And Aesthetic Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimum Medical And Aesthetic Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1215643358
3801 HOLLYWOOD BLVD STE 300
Hollywood, FL 33021
(866) 284-8788
✔ PECOS9.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2330259

Optimum Medical And Aesthetic Care · Plantation, FL
Active · expires Sep 11, 2027
CLIA Number10D2330259
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorSuzette Marseille
Laboratory Phone(754) 243-7774
Laboratory LocationOptimum Medical And Aesthetic Care7500 NW 5th Street Suite 105, Plantation, FL 33317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Optimum Medical And Aesthetic Care LLC's NPI number?

The NPI number for Optimum Medical And Aesthetic Care LLC is 1922984079. It was assigned to this organization in the NPPES registry on August 14, 2025.

Where is Optimum Medical And Aesthetic Care LLC located?

Optimum Medical And Aesthetic Care LLC is located at 7500 NW 5th St Ste 105, Plantation, FL 33317. The listed phone number is (754) 243-7774.

What is Optimum Medical And Aesthetic Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Optimum Medical And Aesthetic Care LLC enrolled in Medicare?

Yes. Optimum Medical And Aesthetic Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Medical And Aesthetic Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Optimum Medical And Aesthetic Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optimum Medical And Aesthetic Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2330259) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optimum Medical And Aesthetic Care LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.