Healthcare Provider Details

I. General information

NPI: 1891631933
Provider Name (Legal Business Name): INSTITUTE FOR OPTIMUM HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 MALABAR RD SE STE 6
PALM BAY FL
32907-3109
US

IV. Provider business mailing address

620 MALABAR RD SE STE 6
PALM BAY FL
32907-3109
US

V. Phone/Fax

Practice location:
  • Phone: 321-429-7409
  • Fax:
Mailing address:
  • Phone: 321-429-7409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. INES ALFARO
Title or Position: OWNER
Credential: MD
Phone: 787-508-0736