SEALIFE PSYCHIATRIC SERVICES INC NPI 1851698682

NPI Information

  • NPI: 1851698682
  • Provider Name: SEALIFE PSYCHIATRIC SERVICES INC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 14201 W SUNRISE BLVD
    SUITE 208
    SUNRISE, FL
    ZIP 33323
  • Phone: (954) 851-9690

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NPI Details

SEALIFE PSYCHIATRIC SERVICES INC is a psychiatric/mental health nurse practitioner in Sunrise, FL. SEALIFE PSYCHIATRIC SERVICES INC NPI is 1851698682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14201 W SUNRISE BLVD
SUITE 208
SUNRISE, FL
ZIP 33323-207
Phone: (954) 851-9690
Fax: (954) 851-9688

The provider's authorized official is Vanessa Roxane Long .
The authorized official title is Pmhnp, President and has the following contact phone number (954) 851-9690.

The enumeration date for this NPI number is 2/14/2011 and was last updated on 8/5/2013.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health9312887FLORIDAYes

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
1EW721AMEDICARE OSCAR/CERTIFICATIONFLORIDA

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: 11/21/2025

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