Sanctuary of Palm Beach County LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SANCTUARY OF PALM BEACH COUNTY LLC

Doing business as

Sanctuary Wellness of Boca Raton

Practice address

350 Camino Gardens Blvd
Suite 106
Boca Raton, FL 33432-5846

Phone

(855) 345-3334

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Derek Martin, COO

Title

Coo

Phone

(561) 279-5221

Specialties & licenses 1

Addresses

Other names 1

• Sanctuary Wellness of Boca Raton Doing business as

Locations

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1639539349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CAMINO GARDENS BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325846",
            "telephone_number": "855-345-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CAMINO GARDENS BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325846",
            "telephone_number": "855-345-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY OF PALM BEACH COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-279-5221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary Wellness of Boca Raton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sidney Nicole Sanchez, RN
• Sonia Yamilet Sanchez
• Vanessa R Sanchez, LMHC
• Sanctuary Medical Aesthetic Center of Boca Raton LLC
• Sanctuary Medical Aesthetic Center, LLC
• Sanctuary Plastic Surgeons LLC
• Sanctuary Surgical & Anesthesia Center
• Sanctuary Surgical Centre Inc
• Karina Sandberg, INHC
• Gabriel G Sandkovsky, MD

• Rehabilitation Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.