Ocean Sky Wellness, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

0601 Issued in FL

Legal business name

OCEAN SKY WELLNESS, LLC

Practice address

4001 N Ocean Dr
101-102
Fort Lauderdale, FL 33308-5968

Phone

(844) 468-1345

Fax

(954) 368-7645

NPI assigned

Feb 24, 2017

Last updated

Jul 21, 2022By 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

Veronica Hernandez

Title

Director of Billing

Phone

(954) 203-3584

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801336813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR",
            "address_2": "305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "844-468-1345",
            "fax_number": "954-368-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N OCEAN DR",
            "address_2": "101-102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "844-468-1345",
            "fax_number": "954-368-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SKY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "954-203-3584"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "0601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oceanside Elite Surgical Assisting, LLC
• Oceanside Orthodontics PA
• Roni Romeo Tumalon Ocubillo, OTR
• Robert Leslie Odell, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 21, 2022; 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.