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OPTIMUM WELLNESS AND REHAB INC. NPI 1063976298


NPI Information

NPI: 1063976298
Provider Name: OPTIMUM WELLNESS AND REHAB, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1952 N JOHN YOUNG PKWY STE B
KISSIMMEE, FL
ZIP 34741
Phone: (561) 929-6903
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OPTIMUM WELLNESS AND REHAB, INC. is a clinic center in Kissimmee, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OPTIMUM WELLNESS AND REHAB, INC. NPI is 1063976298. The provider is registered as an organization entity type.

The provider's business location address is:

1952 N JOHN YOUNG PKWY STE B
KISSIMMEE, FL
ZIP 34741-221
Phone: (561) 929-6903

The provider's authorized official is Viroja N Jagmohan .
The authorized official title is Owner and has the following contact phone number (561) 929-6903.

The enumeration date for this NPI number is 1/22/2019 and was last updated on 1/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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