Optimum Health Wellness Center Inc
Primary Care Clinic/Center in Lady Lake, FL(View on Map)
Legal Business Name
Optimum Health Wellness Center Inc
NPI Number
1023866779
NPI Type
Organization
Enumeration Date
05/08/2024
Specialties
(Taxonomies)Name
Code
261QP2300X
3336C0002X
261Q00000X
291U00000X
208D00000X
251E00000X
343900000X
261QR1300X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1503 BUENOS AIRES BLVD STE 160
1503 BUENOS AIRES BLVD STE 160
City
Lady Lake
Lady Lake
State
FL
FL
Postal Code
32159-6823
32159-6823
Country
US
US
Telephone Number
(352) 350-6241
(352) 350-6241
Authorized Official
Name
Dr. Emmitt Thompson
Title or Position
PRESIDENT
Telephone Number
(352) 350-6241
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/08/2024
Provider Address
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