Optimal Wellness & Longevity Institute, Llc
Orthopaedic Surgery Physician in Jupiter, FL(View on Map)
Legal Business Name
Optimal Wellness & Longevity Institute, Llc
NPI Number
1912370321
NPI Type
Organization
Enumeration Date
11/06/2015
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME 53688
Contact
Information
Purpose
Mailing
Location
Address
875 MILITARY TRL
875 MILITARY TRL
City
Jupiter
Jupiter
State
FL
FL
Postal Code
33458-5700
33458-5700
Country
US
US
Telephone Number
(561) 803-8407
(561) 803-8407
Authorized Official
Name
Harvey Montijo
Title or Position
CEO
Telephone Number
(561) 803-8407
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/06/2015
Provider Address
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