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General NPI Number Information
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NPI Number | 1629988191
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Entity Type | Organization
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Legal Business Name | OPTIMIZE HEALTHONE MEDICAL & WELLNESS LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 14701 CROSSTON BAY CT
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City | ORLANDO
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State | FL
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Zip | 32824-4291
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Country | US
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Telephone | 689-268-1482
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Fax |
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Provider Business Mailing Address
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Address Line | 7157 NARCOOSSEE RD # 1230
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City | ORLANDO
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State | FL
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Zip | 32822-5533
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MAKENSON LOUIS
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Credential | APRN
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Telephone | 407-953-8781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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