Organization
OPTIMUM CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONOEL PENALVER MD (PHYSICIAN/OWNER)
(786) 470-0024
Entity
Organization
Contact information
Practice address
3908 SW 137TH AVE, DAVIE, FL 33330-5712
(786) 470-0024
(954) 806-2484
Mailing address
10312 BLOOMINGDALE AVE, STE 108 PMB 339, RIVERVIEW, FL 33578-3603
(786) 470-0024
(786) 652-1372
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
11/22/2022
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