Active NPI
Wsop Services, LLC
Doing business as White Sands Alcohol & Drug Rehab Fort Myers
- Emergency Care Clinic/Center
- Fort Myers, FL
National Provider Identifier
1750859732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- WSOP SERVICES, LLC
- Doing business as
- White Sands Alcohol & Drug Rehab Fort Myers
WhiteSands Alcohol & Drug Rehab Fort Myers
WhiteSands of Fort Myers Outpatient Treatment - Practice address
- 1870 Colonial Blvd
Fort Myers, FL 33907-1301 - Phone
- (786) 373-8899
- Fax
- (954) 531-1827
- NPI assigned
- Nov 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David L Hatton
- Title
- General Counsel / Manager
- Phone
- (786) 373-8899
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1870 Colonial Blvd
Fort Myers, FL 33907-1301
Mailing address
600 W Hillsboro Blvd
Ste 350
Deerfield Beach, FL 33441-1622
Phone (786) 373-8899
Other names 3
- White Sands Alcohol & Drug Rehab Fort Myers
- WhiteSands Alcohol & Drug Rehab Fort Myers
- WhiteSands of Fort Myers Outpatient Treatment
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2229199 | Wsop Services, LLC | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
14150 Metropolis Ave
Ste 3
Fort Myers, FL 33912
Phone (239) 895-0610
1870 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 895-0610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1750859732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W HILLSBORO BLVD",
"address_2": "STE 350",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411622",
"telephone_number": "786-373-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071301",
"telephone_number": "786-373-8899",
"fax_number": "954-531-1827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WSOP SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-07",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "HATTON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "GENERAL COUNSEL / MANAGER",
"authorized_official_telephone_number": "786-373-8899",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "White Sands Alcohol & Drug Rehab Fort Myers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WhiteSands Alcohol & Drug Rehab Fort Myers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WhiteSands of Fort Myers Outpatient Treatment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.