Organization
OPTIMOM LACTATION SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOORE RN, IBCLC (AUTHORIZED MEMBER)
(352) 514-0281
Entity
Organization
Contact information
Practice address
7620 SW 5TH PL, GAINESVILLE, FL 32607-1572
(808) 468-6455
Mailing address
7620 SW 5TH PL, GAINESVILLE, FL 32607-1572
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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