OCEAN BREEZE DETOX, LLC (NPI# 1164051967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164051967 |
| Entity Type | Organization |
| Organization Name | OCEAN BREEZE DETOX, LLC |
| Practice Address |
3100 E Commercial Blvd Ft Lauderdale FL 33308-4327 |
| Mailing Address |
Po Box 715328 Cincinnati OH 45271-5328 |
| Practice Telephone | 9548932710 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | MICHAEL BORKOWSKI (AUTHORIZED OFFICAL) |
| Authorized Official Telephone | 9544871224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pathway To Hope | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548634116 | Ocean Breeze Detox, LLC | Psychiatric Residential Treatment Facility | 8401 S Palm Dr, Pembroke Pines, FL 33025-4537 | 2015-11-19 |
| Street Address |
3100 E COMMERCIAL BLVD |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821293564 | The Recovery Place, Inc | Substance Abuse Rehabilitation Facility | 3100 E Commercial Blvd, Ft Lauderdale, FL 33308-4327 | 2007-06-20 |
| 1477911642 | Ebh Acquisition Subsidiary, Inc | Psychiatry & Neurology | 3100 E Commercial Blvd, Ft Lauderdale, FL 33308-4327 | 2016-02-03 |
| 1669758355 | Ebh Acquisition Subsidiary, Inc | Substance Abuse Rehabilitation Facility | 3100 E Commercial Blvd, Ft Lauderdale, FL 33308-4327 | 2011-10-26 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598164279 | Banyan Recovery Institute | Clinic/Center | 2699 Stirling Rd Ste B301, Ft Lauderdale, FL 33312-6543 | 2014-08-19 |
| 1063844520 | Forward Horizons | Clinic/Center | 317 Sw 14th St, Ft Lauderdale, FL 33315-1533 | 2013-08-06 |
| 1780126755 | Banyan Recovery Institute | Clinic/Center | 2699 Stirling Rd, Suite B-301, Ft Lauderdale, FL 33312-6517 | 2016-11-08 |
| 1922416106 | Galt Ocean Rehab, LLC | Clinic/Center | 4001 N Ocean Dr, Suite 305, Ft Lauderdale, FL 33308-5968 | 2014-07-31 |
| 1780012500 | Wellness Counseling Center of Fort Lauderdale | Clinic/Center | 2020 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1106 | 2013-10-15 |
| 1962836163 | New Beginnings Behavioral Health Center, Inc. | Clinic/Center | 2655 E Oakland Park Blvd, Ste # 1 & # 3, Ft Lauderdale, FL 33306-1662 | 2013-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839283 | St John's Recovery Place LLC | Clinic/Center | St Johns Recovery Place LLC, 1811 S Orlando Ave, Cocoa Beach, FL 32931-3211 | 2020-07-24 |
| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | FT LAUDERDALE |
| Zip Code | 33308 |
Please comment or provide details below to improve the information on OCEAN BREEZE DETOX, LLC.
| 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.