Provider Type Icon

BEACHES BAR & CAFE NPI 1962024539


NPI Information

NPI: 1962024539
Provider Name: BEACHES BAR & CAFE
Classification: Medical Foods Supplier - 335G00000X
Entity Type: Organization
Address:
840 US HIGHWAY 1 STE 435C
N PALM BEACH, FL
ZIP 33408
Phone: (561) 294-7741
Get Directions

BEACHES BAR & CAFE is a medical foods supplier in N Palm Beach, FL. The provider is a supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. BEACHES BAR & CAFE NPI is 1962024539. The provider is registered as an organization entity type.

The provider's business location address is:

840 US HIGHWAY 1 STE 435C
N PALM BEACH, FL
ZIP 33408-829
Phone: (561) 294-7741
Fax: (561) 805-1097

The provider's authorized official is Ayanna Babcock Sutherland .
The authorized official title is Ceo/founder and has the following contact phone number (561) 294-5711.

The enumeration date for this NPI number is 5/17/2020 and was last updated on 12/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335G00000XMedical Foods SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10108130000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.