Oceanside Luxury Care, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME46941 Issued in FL

Legal business name

OCEANSIDE LUXURY CARE, LLC

Practice address

2012 Jacaranda Ave
Fort Pierce, FL 34949-3326

Phone

(772) 216-1871

NPI assigned

Feb 7, 2007

Organization subpart

Yes

Parent organization

HAYES MEDICAL ASSOCIATES PAAs reported in NPPES

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

Authorized official

Name

John R Hayes, MD

Title

Ceo

Phone

(772) 216-1871

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Oceanside Luxury Care LLC

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1487794681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 JACARANDA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349493326",
            "telephone_number": "772-216-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 JACARANDA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349493326",
            "telephone_number": "772-216-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE LUXURY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAYES MEDICAL ASSOCIATES PA",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-216-1871",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME46941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME46941",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "44200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• OB Hospitalist Group LLC
• OB Hospitalist Group LLC
• Ocean Chiropractic & Health Center, Inc.
• Ocean Side Pharmacy
• Oceanside Health and Wellness LLC
• Lauren Leigh Odell, LMFT
• Herbo Odelus
• Ashley Odom
• Oludare Ogunsola, D.O.
• Oh Marketing Services (Beachside Rehab)

• Adult Medicine Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.