Floirda Oasis Bayberry LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

FLOIRDA OASIS BAYBERRY LLC

Practice address

717 Bayberry Drive
Lake Park, FL 33403

Phone

(561) 249-1174

Fax

(954) 901-2801

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Jonathan Mark Sobelman, LMHCNPI 1801222914

Title

Ceo

Phone

(954) 655-6735

Specialties & licenses 1

Addresses

Other names 1

• Florida Oasis Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Jonathan Mark Sobelman, LMHC

  • Mental Health Counselor
  • Pompano Beach, FL
  • NPI 1801222914
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1336970367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SE 14TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607621",
            "telephone_number": "954-655-6735",
            "fax_number": "954-901-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BAYBERRY DRIVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-249-1174",
            "fax_number": "954-901-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOIRDA OASIS BAYBERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "SOBELMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-655-6735",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Oasis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kali Etheredge, DPM
• Evichie
• Jose Luis Fanjul Rivero
• Fenix Recovery, LLC
• Helen Ferreira, APRN
• Catherine M Ford, OD
• Jennifer Ford
• Daniel Fortunato, D.C.
• Nicholas Fragiskakis
• Kara Frazier, LMHC, QS

• Psychiatric Residential Treatment Facility in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.