Sea Breeze 503 LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SEA BREEZE 503 LLC

Practice address

503 N Orlando Ave Ste 101
Cocoa Beach, FL 32931-3171

Phone

(321) 784-4321

Fax

(321) 784-4322

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hardik Patel, DDSNPI 1043745219

Title

Solo Proprietor

Phone

(321) 784-4321

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hardik Patel

  • General Practice Dentistry
  • Merritt Island, FL
  • NPI 1043745219
  NPD Authorized official
• Steven Ray Devins, D.D.S.

  • General Practice Dentistry
  • Cocoa Beach, FL
  • NPI 1295857779
  NPD (past)

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1245998582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N ORLANDO AVE STE 101",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313171",
            "telephone_number": "321-784-4321",
            "fax_number": "321-784-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N ORLANDO AVE STE 101",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313171",
            "telephone_number": "321-784-4321",
            "fax_number": "321-784-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE 503 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "SOLO PROPRIETOR",
        "authorized_official_telephone_number": "321-784-4321",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Schmalz, PA
• Jennifer Schmanski, LCSW
• James Schmid
• Virginia D Schmith, RPH
• Melissa Rachel Scully
• Kaley Seay, PHARMD
• Ashley Brooke Seguna
• Lillian Gonzales Sepulveda, M.D.
• Shadetree Dermatology LLC
• Marim Fared Shafek, PHARMACIST

• Dental Clinic/Center in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.