Organization Active NPI

Sea Health Primary Care, LLC

  • Internal Medicine Physician
  • Okeechobee, FL
National Provider Identifier
1073341897
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SEA HEALTH PRIMARY CARE, LLC
Practice address
1713 US Highway 441 N Ste G
Okeechobee, FL 34972-1900
Phone
(863) 357-6030
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hammad Ahmed, MD
Title
Manager
Phone
(305) 542-6679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1713 US Highway 441 N Ste G
Okeechobee, FL 34972-1900

Mailing address

1713 US Highway 441 N Ste G
Okeechobee, FL 34972-1900

National Provider Directory

National Provider Directory

Locations

1713 US Highway 441 N
Ste G
Okeechobee, FL 34972
Phone (863) 357-6030

202 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-6030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1073341897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 US HIGHWAY 441 N STE G",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 US HIGHWAY 441 N STE G",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721900",
            "telephone_number": "863-357-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA HEALTH PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HAMMAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-542-6679",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.