NPIMap

Organization Active NPI

Oceanside Urgent Care LLC

  • Urgent Care Clinic/Center
  • Jupiter, FL
National Provider Identifier
1508101619
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OS8519 Issued in FL
Legal business name
OCEANSIDE URGENT CARE LLC
Practice address
1335 W Indiantown Rd
Suite B
Jupiter, FL 33458-4631
Phone
(561) 744-9995
Fax
(561) 744-8215
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Theresa Goebel, DO
Title
President
Phone
(772) 546-4215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OS8519 FL Primary

Addresses

Primary practice location

1335 W Indiantown Rd
Suite B
Jupiter, FL 33458-4631

Mailing address

1335 W Indiantown Rd
Suite B
Jupiter, FL 33458-4631
Phone (561) 744-9995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1508101619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W INDIANTOWN RD",
            "address_2": "SUITE B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584631",
            "telephone_number": "561-744-9995",
            "fax_number": "561-744-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W INDIANTOWN RD",
            "address_2": "SUITE B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584631",
            "telephone_number": "561-744-9995",
            "fax_number": "561-744-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-546-4215",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS8519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.