Healthcare Provider Details

I. General information

NPI: 1427817543
Provider Name (Legal Business Name): OCEAN MEDICAL SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2024
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8785 SW 165TH AVE STE 203
MIAMI FL
33193-5828
US

IV. Provider business mailing address

8785 SW 165TH AVE STE 203
MIAMI FL
33193-5828
US

V. Phone/Fax

Practice location:
  • Phone: 786-238-7666
  • Fax:
Mailing address:
  • Phone: 786-238-7666
  • Fax:

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: DANIELA VAZQUEZ RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 305-986-8571