Active NPI
Sands Recovery & Wellness LLC
- Infusion Therapy Clinic/Center
- Saint Augustine, FL
National Provider Identifier
1609533900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- SANDS RECOVERY & WELLNESS LLC
- Practice address
- 1947 A1A S Ste a
Saint Augustine, FL 32080-6509 - Phone
- (813) 966-9990
- NPI assigned
- Nov 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon Sands
- Title
- Authorizing Member
- Phone
- (813) 966-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
1947 A1A S Ste a
Saint Augustine, FL 32080-6509
Mailing address
1947 A1A S Ste a
Saint Augustine, FL 32080-6509
Phone (813) 966-9990
Other names 1
- Reset
National Provider Directory
National Provider DirectoryLocations
1947 A1A S
Ste A
Saint Augustine, FL 32080
Phone (813) 966-9990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637452800000",
"number": "1609533900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 A1A S STE A",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320806509",
"telephone_number": "813-966-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1947 A1A S STE A",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320806509",
"telephone_number": "813-966-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDS RECOVERY & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-21",
"last_updated": "2021-11-21",
"certification_date": "2021-11-21",
"status": "A",
"authorized_official_last_name": "SANDS",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "AUTHORIZING MEMBER",
"authorized_official_telephone_number": "813-966-9990",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reset",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.