Organization
ORTHOMETABOLIC PLLC
Active
Organization
ORTHOMETABOLIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN RAE IDEMA DO (OWNER)
(305) 924-3965
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD STE 300, BOCA RATON, FL 33496-2661
(305) 924-3965
Mailing address
5201 WATERFORD DISTRICT DR STE 800, MIAMI, FL 33126-7050
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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