MEDICARE: OPTIMAL HEALTH & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	335G00000X	Medical Foods Supplier
2	261QC1500X	Community Health Clinic/Center
3	261QC1800X	Corporate Health Clinic/Center
4	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L21000465958	OTHER	FL	ARTICLES OF ORGANIZATION FOR LLC

General Provider Information

NPI Number	:	1962160622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL HEALTH & WELLNESS LLC

Provider Business Mailing Address
First Line	:	6 MONTROSE DR
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-1313
Country	:	US
Telephone Number	:	631-300-6320
Fax Number	:	954-208-0066

Provider Business Practice Location Address
First Line	:	11140 LYNWOOD PALM WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33412-2470
Country	:	US
Telephone Number	:	631-300-6320
Fax Number	:	954-208-0066

Authorized Official
Title or Position	:	OWNER/FUNCTIONAL MED. SPECIALIST
Name	:	DR. JACQUELINE SAMANTHA DEMARCO
Credential	:	PHARMD
Telephone Number	:	631-300-6320

Provider Enumeration Date	:	11/30/2021
Last Update Date	:	11/30/2021

Similar Medicare Providers

1609190305 — DR. JACQUELINE SAMANTHA DEMARCO PHARM.D.
Practice Location Address:

11140 LYNWOOD PALM WAY
PALM BEACH GARDENS, FL
33412-2470

Practice Phone: 631-300-6320
Practice Fax: 954-208-0066

1043676828 — ELIZABETH NESBITT-WILLIAMS RN
Practice Location Address:

2470 NW 170TH TER
MIAMI GARDENS, FL
33056-4536

Practice Phone: 786-261-7442
Practice Fax:

1447322367 — DR. MITCHELL ALAN LUCHANSKY M.D.
Practice Location Address:

267 OLD MOODY BLVD
PALM COAST, FL
32164-2470

Practice Phone: 386-313-5752
Practice Fax: 386-313-5801

1063489318 — DR. MARC A BEREZIN M.D.
Practice Location Address:

12887 CRANE XING
PALM BEACH GARDENS, FL
33412-2948

Practice Phone: 845-300-0829
Practice Fax: 845-285-6963

1245249465 — MELVILLE A. BADWAY R.PH., CCP
Practice Location Address:

7870 ARBOR CREST WAY
PALM BEACH GARDENS, FL
33412-2467

Practice Phone: 610-905-4038
Practice Fax:

1477798866 — LYAM CRISTINA WASKO LMT
Practice Location Address:

15212 99TH ST N
PALM BEACH GARDENS, FL
33412-2536

Practice Phone: 561-779-5985
Practice Fax: 561-798-5303

Directions to “OPTIMAL HEALTH & WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.