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OPTIMAL HOLISTIC MEDICINE
NPI 1679458988
Nurse Practitioner - Family in Middleburg, FL

Active since August 06, 2025
2050 FARM WAY, MIDDLEBURG, FL 32068(864) 334-7227 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Optimal Holistic Medicine NPPES

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

OPTIMAL HOLISTIC MEDICINE (NPI 1679458988) is a healthcare organization registered as a family in Middleburg, Florida and active in the NPI registry since August 2025. The organization lists Jenalyn V Licea, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1679458988
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPTIMAL HOLISTIC MEDICINE
Location Address2050 FARM WAYMiddleburg, FL 32068-6796
Mailing Address2050 Farm WayMiddleburg, FL 32068-6796 · (864) 334-7227
Phone(864) 334-7227
Organization SubpartNo
Authorized OfficialJenalyn V LiceaNurse Practitioner/owner · (864) 334-7227
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1679458988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2050 FARM WAY, Middleburg, FL 32068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JENALYN VICTORIA LICEA APRN
Nurse Practitioner (Family)
2050 FARM WAY
MIDDLEBURG, FL 32068
Clay County (864) 334-7227

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 Optimal Holistic Medicine's NPI number?

The NPI number for Optimal Holistic Medicine is 1679458988. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Optimal Holistic Medicine located?

Optimal Holistic Medicine is located at 2050 Farm Way, Middleburg, FL 32068. The listed phone number is (864) 334-7227.

What is Optimal Holistic Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Optimal Holistic Medicine was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.