NPIMap

Organization Active NPI

Island Dolphin Care

  • Developmentally Disabled Services Day Training Agency
  • Key Largo, FL
National Provider Identifier
1437359619
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
PT18593 Issued in FL
Legal business name
ISLAND DOLPHIN CARE
Practice address
150 Lorelane PL
Key Largo, FL 33037-4235
Phone
(305) 451-5884
Fax
(305) 453-5399
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Jackie R. McIntosh, DPT
Title
Director of Therapy
Phone
(305) 451-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X PT18593 FL Primary

Addresses

Primary practice location

150 Lorelane PL
Key Largo, FL 33037-4235

Mailing address

150 Lorelane PL
Key Largo, FL 33037-4235
Phone (305) 451-5884

National Provider Directory

National Provider Directory

Locations

150 Lorelane Pl
Key Largo, FL 33037
Phone (305) 451-5884

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1437359619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LORELANE PL",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374235",
            "telephone_number": "305-451-5884",
            "fax_number": "305-453-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LORELANE PL",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374235",
            "telephone_number": "305-451-5884",
            "fax_number": "305-453-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DOLPHIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "305-451-5884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "PT18593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.