Healthcare Provider Details

I. General information

NPI: 1629988191
Provider Name (Legal Business Name): OPTIMIZE HEALTHONE MEDICAL & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14701 CROSSTON BAY CT
ORLANDO FL
32824-4291
US

IV. Provider business mailing address

7157 NARCOOSSEE RD # 1230
ORLANDO FL
32822-5533
US

V. Phone/Fax

Practice location:
  • Phone: 689-268-1482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MAKENSON LOUIS
Title or Position: OWNER/MANAGING MEMBER
Credential: APRN
Phone: 407-953-8781