National Provider Identifier Database

OPTIMAL HEALTH WELLNESS LLC
Health Service


Contact Information

OPTIMAL HEALTH & WELLNESS LLC
11140 LYNWOOD PALM WAY
PALM BEACH GARDENS, FL33412-2470
Phone: 631-300-6320
Fax: 954-208-0066
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X
Community Health 261QC1500X
Corporate Health 261QC1800X
Medical Foods Supplier 335G00000X

* Indicates primary specialty

NPI Profile & details for OPTIMAL HEALTH & WELLNESS LLC

NPI Number 1962160622
Legal business name
LBN
OPTIMAL HEALTH & WELLNESS LLC
Authorized official JACQUELINE DEMARCO - (OWNER/FUNCTIONAL MED. SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 11/30/2021
Last updated 11/30/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Other: L21000465958 ARTICLES OF ORGANIZATION FOR LLC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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