| Oceanside Luxury Care, Llc | |
|
2012 Jacaranda Ave Fort Pierce FL 34949-3326 | |
| (772) 216-1871 | |
| Not Available |
| Full Name | Oceanside Luxury Care, Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2012 Jacaranda Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | John R Hayes (CEO) |
| Authorized Official Contact | 7722161871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanside Luxury Care, Llc 2012 Jacaranda Ave Fort Pierce FL 34949-3326 Ph: (772) 216-1871 | Oceanside Luxury Care, Llc 2012 Jacaranda Ave Fort Pierce FL 34949-3326 Ph: (772) 216-1871 |
| NPI Number | 1487794681 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487794681 | NPI | - | NPPES |
| ME46941 | Other | FL | MEDICAL LICENSE NUMBER |
| 44200 | Other | FL | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME46941 (Florida) | Primary |
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