Organization
OPTIMUM REHABILITATION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN MALIK MD (MD)
(330) 285-0592
Entity
Organization
Contact information
Practice address
2718 LEE BLVD #C, LEHIGH ACRES, FL 33971-1537
(239) 303-9100
(239) 303-9101
Mailing address
PO BOX 3576, APOLLO BEACH, FL 33572-1005
(330) 285-0592
(888) 803-9101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT0009763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686674
MEDICARE PTAN
FL
01
—
RB6
BCBS FLORIDA
FL
01
—
RE1
BCBS
FL
Enumeration date
03/20/2006
Last updated
11/08/2020
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