Shoreline Medical Addiction Treatment LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SHORELINE MEDICAL ADDICTION TREATMENT LLC

Practice address

602 W Indian River Blvd Ste 2
Edgewater, FL 32132-3500

Phone

(386) 868-2619

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Charles Viel, MDNPI 1417199902

Title

Managing Partner

Phone

(850) 339-6808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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, and the practitioner matching its NPPES authorized official.

• Stephen Charles Viel, M.D.

  • Emergency Medicine Physician
  • Edgewater, FL
  • NPI 1417199902
  Medicare reassignment NPD Authorized official
• Jamie Ponti, APRN

  • Family Nurse Practitioner
  • Edgewater, FL
  • NPI 1841791530
  Medicare reassignment NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1659051647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EAST CIR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695213",
            "telephone_number": "850-339-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W INDIAN RIVER BLVD STE 2",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321323500",
            "telephone_number": "386-868-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE MEDICAL ADDICTION TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "VIEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "850-339-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kami Teresa Seifert, FNP-C
• Serenity Springs LLC
• Antoinise Servius
• Sharon L Shelton, DO
• Candy Shields
• Shores Medical PA
• Aania Simpkins
• Michael Somai, D.M.D.
• Sonbiz LLC (the woodlands)
• Jenna Spurlock, MS

• Substance Use Disorder Rehabilitation Clinic/Center in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.