Provider Demographics
NPI:1518741065
Name:OPTIMIZE MEDICAL PLLC
Entity type:Organization
Organization Name:OPTIMIZE MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF OPERATIONS AND STRATEGY
Authorized Official - Prefix:
Authorized Official - First Name:AVANTIK
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-780-8685
Mailing Address - Street 1:9750 NW 33RD ST STE 204
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4081
Mailing Address - Country:US
Mailing Address - Phone:954-780-8685
Mailing Address - Fax:
Practice Address - Street 1:9750 NW 33RD ST STE 204
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4081
Practice Address - Country:US
Practice Address - Phone:954-780-8685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty