Organization
OPTIMAL FUNCTION MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DELUCA M.D. (CMO)
(561) 899-5014
Entity
Organization
Contact information
Practice address
600 SANDTREE DR, SUITE 206B, PALM BEACH GARDENS, FL 33403-1597
(561) 899-5014
Mailing address
1022 JEFFERY ST, BOCA RATON, FL 33487-4183
(561) 899-5014
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME102199
FL
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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