# OPTIMAL FUNCTION MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457794034
- **Authorized official:** DR. JOHN DELUCA M.D. (CMO)
- **Authorized official phone:** (561) 899-5014

## Contact information

- **Practice address:** 600 SANDTREE DR, SUITE 206B, PALM BEACH GARDENS, FL 33403-1597
- **Practice address phone:** (561) 899-5014
- **Mailing address:** 1022 JEFFERY ST, BOCA RATON, FL 33487-4183
- **Mailing address phone:** (561) 899-5014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME102199 | FL | Yes |

## Other

- **Enumeration date:** 04/12/2013
- **Last updated:** 04/12/2013