Ocean Walk North LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

OCEAN WALK NORTH LLC

Practice address

2411 Quantum Blvd
Boynton Beach, FL 33426-8612

Phone

(813) 644-7753

Fax

(888) 482-2405

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lee Yaffe

Title

Manager

Phone

(813) 644-7753

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1437570793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 QUANTUM BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268612",
            "telephone_number": "813-644-7753",
            "fax_number": "888-482-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 QUANTUM BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268612",
            "telephone_number": "813-644-7753",
            "fax_number": "888-482-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN WALK NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "YAFFE",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-644-7753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

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

Verify at the official NPI Registry.