Healthcare Provider Details

I. General information

NPI: 1346103280
Provider Name (Legal Business Name): OCEAN THERAPY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E 4TH AVE STE 203
HIALEAH FL
33010-3504
US

IV. Provider business mailing address

1401 E 4TH AVE STE 203
HIALEAH FL
33010-3504
US

V. Phone/Fax

Practice location:
  • Phone: 305-283-6254
  • Fax: 305-283-6254
Mailing address:
  • Phone: 305-283-6254
  • Fax: 305-283-6254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE CHRISTY GARCIA
Title or Position: OWNER
Credential:
Phone: 305-283-6254