NPIMap

Organization Active NPI

Ocean Blue Medspa

  • Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1083324586
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OCEAN BLUE MEDSPA
Practice address
195 S Westmonte Dr Ste 1120
Altamonte Springs, FL 32714-4219
Phone
(407) 885-1515
NPI assigned
Nov 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Authorized official

Name
Kevin KingNPI 1063108629
Title
Ceo
Phone
(407) 885-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

195 S Westmonte Dr Ste 1120
Altamonte Springs, FL 32714-4219

Mailing address

195 S Westmonte Dr Ste 1120
Altamonte Springs, FL 32714-4219
Phone (407) 885-1515

Other names 1

  • Ocean Blue MedSpa Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1083324586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR STE 1120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144219",
            "telephone_number": "407-885-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR STE 1120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144219",
            "telephone_number": "407-885-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BLUE MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-885-1515"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Blue MedSpa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.