Organization
CENTER FOR OPTIMAL LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WASHINGTON PH.D (PRESIDENT)
(202) 247-1137
Entity
Organization
Contact information
Practice address
523 BOCA CHICA CIR, 101, OCOEE, FL 34761-4891
(202) 247-1137
Mailing address
523 BOCA CHICA CIR, 101, OCOEE, FL 34761-4891
(202) 247-1137
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
PY8137
FL
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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