Undersea Oxygen Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

IBUM-2343-0010 Issued in FL

Legal business name

UNDERSEA OXYGEN CLINIC LLC

Practice address

701 N West Shore Blvd FL 3
Tampa, FL 33609-1122

Phone

(813) 533-7093

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Prof. Joseph Dituri, PHD(C)

Title

President

Phone

(813) 533-7095

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1427569920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N WEST SHORE BLVD FL 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091122",
            "telephone_number": "813-533-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WEST SHORE BLVD FL 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091122",
            "telephone_number": "813-533-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERSEA OXYGEN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "DITURI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-533-7095",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD(C)"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "IBUM-2343-0010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.