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Organization
OPTIMUM MEDICAL CENTER PLLC
Active
Organization
OPTIMUM MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UYI STEPHEN AIDEYAN MD (MANAGER)
(347) 209-7069
Entity
Organization
Contact information
Practice address
790 NW 107TH AVE, MIAMI, FL 33172-3130
(786) 323-7069
Mailing address
6900 NW 106TH AVE, DORAL, FL 33178-3239
(786) 323-7069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
12/19/2021
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