Orthometabolic PLLC
Clinic/Center, Multi-Specialty in Boca Raton, FL. Organization (NPI-2).
NPI number1104769348
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1104769348
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthometabolic PLLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
1905 Clint Moore Rd Ste 300Boca Raton, FL 33496-2661
Phone 305-924-3965
Mailing address
5201 Waterford District Dr Ste 800Miami, FL 33126-7050
Authorized official
Jocelyn Rae Idema
Owner
3059243965
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