OCEAN BREEZE DETOX LLC NPI 1164051967

NPI Information

NPI: 1164051967
Provider Name: OCEAN BREEZE DETOX, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 10D2182955

Address:
3100 E COMMERCIAL BLVD
FT LAUDERDALE, FL
ZIP 33308
Phone: (954) 893-2710
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OCEAN BREEZE DETOX, LLC is a rehabilitation and substance use disorder clinic center in Ft Lauderdale, FL. OCEAN BREEZE DETOX, LLC NPI is 1164051967. The provider is registered as an organization entity type.

The provider's business location address is:

3100 E COMMERCIAL BLVD
FT LAUDERDALE, FL
ZIP 33308-327
Phone: (954) 893-2710

The provider's authorized official is Michael Borkowski .
The authorized official title is Authorized Offical and has the following contact phone number (954) 487-1224.

The CLIA number assigned to this NPI record is 10D2182955 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2020 and was last updated on 8/25/2021.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 11/14/2023

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