| Entity Name: | OPTIMAL HEALTH DR CHRISTOPHER D OLENEK LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Dec 2022 (2 years ago) |
| Document Number: | L23000004940 |
| FEI/EIN Number | 27-2560012 |
| Address: | 927 37TH PLACE, VERO BEACH, FL, 32960, US |
| Mail Address: | 927 37TH PLACE, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780905117 | 2010-06-21 | 2010-06-21 | 960 37TH PL, SUITE 102, VERO BEACH, FL, 329606586, US | 960 37TH PL, SUITE 102, VERO BEACH, FL, 329606586, US | |||||||||||||||||||||||||
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| Phone | +1 772-559-2444 |
| Fax | 7725818490 |
Authorized person
| Name | CHRISTOPHER D OLENEK |
| Role | PRESIDENT |
| Phone | 7725592444 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS8113 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51488 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OLENEK CHRISTOPHER D | Agent | 927 37TH PLACE, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| OLENEK CHRISTOPHER D | Managing Member | 927 37TH PLACE, VERO BEACH, FL, 32960 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-12-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
