Provider Demographics
NPI:1295803625
Name:OPTIMUM ANESTHESIA ASSOCIATES, PLLC
Entity type:Organization
Organization Name:OPTIMUM ANESTHESIA ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:954-234-6515
Mailing Address - Street 1:800 CLAUGHTON ISLAND DR
Mailing Address - Street 2:1601
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2655
Mailing Address - Country:US
Mailing Address - Phone:954-234-6515
Mailing Address - Fax:
Practice Address - Street 1:800 CLAUGHTON ISLAND DR
Practice Address - Street 2:1601
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2655
Practice Address - Country:US
Practice Address - Phone:954-234-6515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2936152174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty