Active NPI
Ocean Addiction Recovery Services, LLC
- Addiction Medicine (Anesthesiology) Physician
- Vero Beach, FL
National Provider Identifier
1417386624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- 0S10340
- Legal business name
- OCEAN ADDICTION RECOVERY SERVICES, LLC
- Practice address
- 1705 19 PL
Ste E-2
Vero Beach, FL 32960 - Phone
- (772) 257-5995
- Fax
- (772) 257-5995
- NPI assigned
- Nov 7, 2013
- Last updated
- Apr 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Wade Moreland, DO
- Title
- Owner
- Phone
- (772) 257-5995
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 0S10340 | FL | Primary |
Addresses
Primary practice location
1705 19 PL
Ste E-2
Vero Beach, FL 32960
Mailing address
1705 19TH PL
Ste E-2
Vero Beach, FL 32960-0686
Phone (772) 257-5995
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Vero Beach, FL
- NPI 1841422797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398729600000",
"number": "1417386624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 19TH PL",
"address_2": "STE E-2",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329600686",
"telephone_number": "772-257-5995",
"fax_number": "772-257-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 19 PL",
"address_2": "STE E-2",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-257-5995",
"fax_number": "772-257-5995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN ADDICTION RECOVERY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-07",
"last_updated": "2014-04-29",
"status": "A",
"authorized_official_last_name": "MORELAND",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "WADE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-257-5995",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "FL",
"license": "0S10340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.