Sands Detox

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SANDS DETOX

Practice address

3460 Depew Ave
Port Charlotte, FL 33952-7015

Phone

(754) 213-6635

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Robert Salmons

Title

Manager

Phone

(609) 509-9533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1427725399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 DEPEW AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 DEPEW AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527015",
            "telephone_number": "754-213-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDS DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "SALMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-509-9533"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Samale
• Odaiyappa Sambandam, M.D., FACC FCCP
• Crystal Marie Sammarco
• Mary Samoge-Wismer, OTR
• Sams East Inc
• Lindsey Sandsmark, PHARMD
• Amy Sandy, PTA
• Sanjeev Zutshi PA
• Arthi Sanjeevi, M.D.
• Alexandra Santana

• Substance Abuse Rehabilitation Facility in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.