Organization
OPTIMUM WELLNESS AND REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIROJA N JAGMOHAN MD (OWNER)
(561) 929-6903
Entity
Organization
Contact information
Practice address
1952 N JOHN YOUNG PKWY STE B, KISSIMMEE, FL 34741-3221
(561) 929-6903
Mailing address
9542 SHEPARD PL, WELLINGTON, FL 33414-6420
(561) 929-6903
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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