Oceanside Medical Center Direct Primary Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OCEANSIDE MEDICAL CENTER DIRECT PRIMARY CARE, LLC

Practice address

5915 N Ocean Shore Blvd Ste B
Palm Coast, FL 32137-2643

Phone

(386) 866-9393

Fax

(386) 309-9930

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Lauren Williams, APRN

Title

Owner/ President

Phone

(386) 866-9393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1467184481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 N OCEAN SHORE BLVD STE B",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372643",
            "telephone_number": "386-866-9393",
            "fax_number": "386-309-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 N OCEAN SHORE BLVD STE B",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372643",
            "telephone_number": "386-866-9393",
            "fax_number": "386-309-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE MEDICAL CENTER DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "386-866-9393",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L O'Neal, L.M.H.C.
• Corrinna Oakley, PA-C
• Melinda Carol Obal
• Oceans Dental Group Inc
• Oceanside Chiropractic LLC
• Nicole Oetting
• Allan C Oglesby, M.D.
• Chamion Olivier, MD
• Erik J Olson, D.M.D.
• Jennifer Michelle Olson, PHARMD, RPH

• Primary Care Clinic/Center in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.