Detox of South Florida, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DETOX OF SOUTH FLORIDA, LLC

Practice address

608 NE 2ND Ave
Okeechobee, FL 34972-2622

Phone

(863) 763-0913

Fax

(863) 763-0914

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Sehar Ryan

Title

Coo

Phone

(754) 368-1285

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Diagnostics Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy M Anderson, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Lake Worth, FL
  • NPI 1316063357
  NPD (past)
• Rachel Vargas

  • Mental Health Counselor
  • Okeechobee, FL
  • NPI 1144076431
  NPD (past)

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1558768820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NE 2ND AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722622",
            "telephone_number": "754-368-1285",
            "fax_number": "833-535-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NE 2ND AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722622",
            "telephone_number": "863-763-0913",
            "fax_number": "863-763-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETOX OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SEHAR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "754-368-1285"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Diagnostics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roger Franklin Davis Sr., D.D.S.
• Natdeilys De Armas Acosta
• Dental Surgery Specialists of Okeechobee
• Angeline C.N. Desai, M.D.
• Dana Sue Desantis, APRN
• Sunita Dhillon, APRN
• Diagnostic Imaging Services Inc
• Luis C Diaz, M.D.
• Luis J Diaz, DMD
• Paulette L. Disinger, A.R.N.P.

• Substance Abuse Rehabilitation Facility in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.