Optimal Health & Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

OPTIMAL HEALTH & WELLNESS LLC

Practice address

11140 Lynwood Palm Way
Palm Beach Gardens, FL 33412-2470

Phone

(631) 300-6320

Fax

(954) 208-0066

NPI assigned

Nov 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacqueline Samantha Demarco, PHARMDNPI 1609190305

Title

Owner/Functional Med. Specialist

Phone

(631) 300-6320

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Samantha Demarco, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Palm Beach Gardens, FL
  • NPI 1609190305
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1962160622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MONTROSE DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251313",
            "telephone_number": "631-300-6320",
            "fax_number": "954-208-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 LYNWOOD PALM WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122470",
            "telephone_number": "631-300-6320",
            "fax_number": "954-208-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/FUNCTIONAL MED. SPECIALIST",
        "authorized_official_telephone_number": "631-300-6320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF ORGANIZATION FOR LLC",
            "identifier": "L21000465958",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Jackie@functionalmedicineconsultants.com",
            "affiliation": "N",
            "address_1": "11140 Lynwood Palm Way",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334122470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Charles Oneal, DPT
• Michelle Oneal, OTD, OTR/L
• Frank S Onofrio Jr., M.D.
• Chelsie Ontiveroz, RN
• Optimal Function Medical Group, LLC
• Tranyia Catrice Orange
• Marcos Antonio Ordonez, PHARM D
• Organization for Family Improvement
• Derek Orshan, MS, DO
• Thanh Ortega, RD, LDN, CSG

• Health Service Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.