Organization Active NPI

Ocean Medical Walk-in Clinic

  • Family Health Clinical Nurse Specialist
  • Lauderdale by the Sea, FL
National Provider Identifier
1184046393
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
9100841 Issued in FL
Legal business name
OCEAN MEDICAL WALK-IN CLINIC
Practice address
4001 N Ocean Dr Ste 105
Lauderdale by the Sea, FL 33308-5968
Phone
(954) 771-4000
NPI assigned
Jan 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Luis G Rodas
Title
President
Phone
(954) 771-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X 9100841 FL Primary

Addresses

Primary practice location

4001 N Ocean Dr Ste 105
Lauderdale by the Sea, FL 33308-5968

Mailing address

4001 N Ocean Dr Ste 105
Lauderdale by the Sea, FL 33308-5968
Phone (954) 771-4000

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": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1184046393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 105",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-771-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR STE 105",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-771-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN MEDICAL WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "RODAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-4000"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "FL",
            "license": "9100841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.