Orthometabolic PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ORTHOMETABOLIC PLLC

Practice address

1905 Clint Moore Rd Ste 300
Boca Raton, FL 33496-2661

Phone

(305) 924-3965

NPI assigned

Apr 13, 2026

Organization subpart

No

Name

Jocelyn Rae Idema, DO

Title

Owner

Phone

(305) 924-3965

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2026.

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1104769348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WATERFORD DISTRICT DR STE 800",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962661",
            "telephone_number": "305-924-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMETABOLIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "IDEMA",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-924-3965",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Boca Raton, FL
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.