Active NPI
Hyperbaric Haven
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Wellington, FL
National Provider Identifier
1861172207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Legal business name
- HYPERBARIC HAVEN
- Practice address
- 12794 Forest Hill Blvd Ste 9-10
Wellington, FL 33414-4710 - Phone
- (954) 592-4961
- NPI assigned
- Jul 20, 2023
- Last updated
- Nov 6, 2023
- 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
- Tiffany McCalla
- Title
- Owner
- Phone
- (954) 592-4961
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | Primary | ||
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X |
Addresses
Primary practice location
12794 Forest Hill Blvd Ste 9-10
Wellington, FL 33414-4710
Mailing address
12794 Forest Hill Blvd Ste 9-10
Wellington, FL 33414-4710
Phone (954) 592-4961
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Wellington, FL
- NPI 1003877523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1861172207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12794 FOREST HILL BLVD STE 9-10",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144710",
"telephone_number": "954-592-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12794 FOREST HILL BLVD STE 9-10",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144710",
"telephone_number": "954-592-4961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYPERBARIC HAVEN",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-20",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A",
"authorized_official_last_name": "MCCALLA",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-592-4961"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.