Oceanvibes, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MM 16528 Issued in FL

Legal business name

OCEANVIBES, INC.

Practice address

21 Grant St
Saint Augustine, FL 32084-2739

Phone

(904) 823-8633

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Miss Elizabeth A Zylkowski, LMT

Title

President

Phone

(904) 318-0328

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1730415258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 4TH ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320841437",
            "telephone_number": "904-823-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRANT ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842739",
            "telephone_number": "904-823-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANVIBES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "ZYLKOWSKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-318-0328",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 43881",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 53341",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MM 16528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• McKinley Odom, DPT
• Robert A Oesterle, MD
• Enya Ohlenschlager Van Coller, DPT

• Specialist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.