Organization Active NPI

Danette Arthur MD PA

Doing business as Sobriety on the Sea

  • Addiction Medicine (Internal Medicine) Physician
  • Hollywood, FL
National Provider Identifier
1730408501
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
ME0053829 Issued in FL
Legal business name
DANETTE ARTHUR MD PA
Doing business as
Sobriety on the Sea
Practice address
2632 Hollywood Blvd
305
Hollywood, FL 33020-4847
Phone
(954) 923-7333
Fax
(954) 923-7722
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Dr. Danette Arthur, MDNPI 1356406383
Title
Owner
Phone
(954) 923-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0053829 FL
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X ME0053829 FL Primary

Addresses

Primary practice location

2632 Hollywood Blvd
305
Hollywood, FL 33020-4847

Mailing address

4302 Hollywood Blvd # 125
Hollywood, FL 33021-6635
Phone (954) 923-7333

Other names 1

  • Sobriety on the Sea Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000505 FL Part B Supplier - Clinic/Group Practice 0446270433 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

4747 Hollywood Blvd
#127
Hollywood, FL 33021

2632 Hollywood Blvd
Ste 305
Hollywood, FL 33020
Phone (954) 923-7333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1730408501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HOLLYWOOD BLVD # 125",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216635",
            "telephone_number": "954-923-7333",
            "fax_number": "954-923-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 HOLLYWOOD BLVD",
            "address_2": "305",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204847",
            "telephone_number": "954-923-7333",
            "fax_number": "954-923-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANETTE ARTHUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-923-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0053829",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME0053829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sobriety on the Sea",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sobriety on the Sea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.