Optimal Health Physicians

LBN: Revitalize Llc
Optimal Health Physicians is an health care organization with primary practice located at 15235 Shady Grove Rd Suite 102, Rockville MD 20850-3234. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Revitalize Llc can be contacted via phone (301) 330-9430, or through Fishman, Norton via phone (301) 330-9430.

Contact Information

Primary practice address
15235 Shady Grove Rd Suite 102 Rockville MD 20850-3234
Phone: (301) 330-9430
Fax: (301) 330-6515
Website:
Map and Directions
Authorized official contact:
Name: Fishman, Norton Doctor of Medicine (MD)
Phone: (301) 330-9430

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H67624 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0050126 Maryland

Profile Details

NPI number 1417238015
LBN Legal business name Revitalize Llc
DBA Doing business as Optimal Health Physicians
Authorized official Fishman, Norton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2011
Last updated Oct 24th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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