Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthometabolic PLLC

Organization Multi-Specialty Clinic/Center · NPI 1104769348

Orthometabolic PLLC is a Multi-Specialty Clinic/Center in Boca Raton, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 Clint Moore Rd Ste 300
Boca Raton, FL 33496-2661
Phone: (305) 924-3965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1104769348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jocelyn Idema — Owner · (305) 924-3965
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address5201 Waterford District Dr Ste 800, Miami, FL 33126-7050

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