Gulf Breeze Therapeutics LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GULF BREEZE THERAPEUTICS LLC

Practice address

997 N Collier Blvd
Suite G
Marco Island, FL 34145-2773

Phone

(239) 404-2141

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Gary Rhine, LCSW

Title

Manager/Therapist

Phone

(239) 404-2141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1730584160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 N COLLIER BLVD",
            "address_2": "SUITE G",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452773",
            "telephone_number": "239-404-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 N COLLIER BLVD",
            "address_2": "SUITE G",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452773",
            "telephone_number": "239-404-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BREEZE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "RHINE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "MANAGER/THERAPIST",
        "authorized_official_telephone_number": "239-404-2141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Joseph Haran

• Clinical Social Worker in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.