# OPTIMUM MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386317733
- **Authorized official:** MICHELLE DEANN BOOHER (MANAGER)
- **Authorized official phone:** (817) 298-0950

## Contact information

- **Practice address:** 1700 N DIXIE HWY STE 114, BOCA RATON, FL 33432-1807
- **Practice address phone:** (561) 372-9256
- **Practice address fax:** (561) 372-9257
- **Mailing address:** 1700 N DIXIE HWY STE 114, BOCA RATON, FL 33432-1807
- **Mailing address phone:** (561) 372-9256
- **Mailing address fax:** (561) 372-9257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 03/16/2022