ORTHOMETABOLIC PLLC
NPI 1104769348
Clinic/Center - Multi-Specialty in Boca Raton, FL

Active since April 13, 2026
1905 CLINT MOORE RD STE 300, BOCA RATON, FL 33496(305) 924-3965 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orthometabolic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORTHOMETABOLIC PLLC (NPI 1104769348) is a healthcare organization registered as a multi-specialty in Boca Raton, Florida and active in the NPI registry since April 2026. The organization lists Jocelyn Rae Idema, Owner, as its authorized official.

NPPES Registry Identity

NPI1104769348
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameORTHOMETABOLIC PLLC
Location Address1905 CLINT MOORE RD STE 300Boca Raton, FL 33496-2661
Mailing Address5201 Waterford District Dr Ste 800Miami, FL 33126-7050
Organization SubpartNo
Authorized OfficialJocelyn Rae IdemaOwner · (305) 924-3965
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
NPI 1104769348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1905 CLINT MOORE RD STE 300, Boca Raton, FL 33496

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1905 CLINT MOORE RD STE 300
BOCA RATON, FL 33496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthometabolic PLLC's NPI number?

The NPI number for Orthometabolic PLLC is 1104769348. It was assigned to this organization in the NPPES registry on April 13, 2026.

Where is Orthometabolic PLLC located?

Orthometabolic PLLC is located at 1905 Clint Moore Rd Ste 300, Boca Raton, FL 33496. The listed phone number is (305) 924-3965.

What is Orthometabolic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Orthometabolic PLLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.