OCEAN MANOR PROFESSIONAL GROUP LLC (NPI# 1083155477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083155477 |
| Entity Type | Organization |
| Organization Name | OCEAN MANOR PROFESSIONAL GROUP LLC |
| Practice Address |
4001 N Ocean Dr Ste 305 Lauderdale By The Sea FL 33308-5968 |
| Mailing Address |
4001 N Ocean Dr Ste 301 Lauderdale By The Sea FL 33308-5968 |
| Practice Telephone | 8444681345 |
| Practice Fax Number | 9548562904 |
| Mailing Telephone | 8447681345 |
| Mailing Fax Number | 9548562904 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | VERONICA HERNANDEZ (MANAGER) |
| Authorized Official Telephone | 9542033584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
4001 N OCEAN DR STE 305 |
| City | LAUDERDALE BY THE SEA |
| State | FL |
| Zip Code | 33308-5968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879360 | Luis G Rodas | Physician Assistant | 4001 N Ocean Dr, Lauderdale By The Sea, FL 33308-5968 | 2005-05-24 |
| 1013331453 | Sierra Dental Inc | Dentist | 4001 N Ocean Dr, Suite #202, Lauderdale By The Sea, FL 33308-5968 | 2014-02-05 |
| 1164604229 | Sound Medtrex Inc | Radiologic Technologist | 4001 N Ocean Dr, 304, Lauderdale By The Sea, FL 33308-5968 | 2007-11-30 |
| 1033308598 | Curemed | Radiologic Technologist | 4001 N Ocean Dr, 304, Lauderdale By The Sea, FL 33308-5968 | 2007-10-22 |
| 1003848508 | Amy Cohen Nehrke | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5968 | 2006-07-06 |
| 1396796561 | New Paradigm Health | Audiologist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-13 |
| 1912956087 | Julietta Ruth Wenzel | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-08 |
| 1073562369 | Todd Robert James | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-06 |
| 1598713802 | Ocean Therapy Center Inc | Physical Therapist | 4001 N Ocean Dr, Suite 302, Lauderdale By The Sea, FL 33308-5928 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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|---|---|---|---|---|
| 1861091431 | Aloha Detox Center LLC | Psychiatry & Neurology | 4800 Linton Blvd # 6, Delray Beach, FL 33445-6584 | 2020-10-23 |
| 1598315251 | Webmed Network, LLC | Psychiatry & Neurology | 8787 Bryan Dairy Rd Ste 370, Largo, FL 33777-1251 | 2019-09-16 |
| 1699331132 | Hakuna Matata Psychiatry Services Pllc | Psychiatry & Neurology | 13123 E Emerald Coast Pkwy # 193, Inlet Beach, FL 32461-9604 | 2019-05-09 |
| 1629540273 | Aware Recovery Care of Florida LLC | Psychiatry & Neurology | 1625 S Congress Ave Ste 301, Delray Beach, FL 33445-6304 | 2018-12-20 |
| 1760981260 | Panama City Springs & Recovery Center, Inc | Psychiatry & Neurology | 1212 W 19th St, Panama City, FL 32405-4104 | 2018-02-09 |
| 1962910570 | Palm Beach Neuro and Wellness, LLC | Psychiatry & Neurology | 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 | 2018-01-17 |
| 1770090276 | Allure Wellness Group LLC | Psychiatry & Neurology | 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 | 2018-01-05 |
| 1861902173 | Recreate Life Wellness Group LLC | Psychiatry & Neurology | 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060 | 2017-10-02 |
| 1740718519 | Drs Billing One | Psychiatry & Neurology | 560 Village Blvd Suite 325a, West Palm Beach, FL 33409-7562 | 2017-05-24 |
| 1205389749 | Physicians Recovery Center Inc | Psychiatry & Neurology | 4782 W Commercial Blvd, Tamarac, FL 33319-2878 | 2016-08-02 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE BY THE SEA |
| Zip Code | 33308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.