Organization
OPTIMAL WELLNESS & LONGEVITY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY MONTIJO M.D. (CEO)
(561) 803-8407
Entity
Organization
Contact information
Practice address
875 MILITARY TRL, SUITE 105, JUPITER, FL 33458-5700
(561) 803-8407
Mailing address
875 MILITARY TRL, SUITE 105, JUPITER, FL 33458-5700
(561) 803-8407
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 53688
FL
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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