Healthcare Provider Details

I. General information

NPI: 1053077487
Provider Name (Legal Business Name): OCEAN PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 COLLINS AVE UNIT 205
SURFSIDE FL
33154-2606
US

IV. Provider business mailing address

9401 COLLINS AVE UNIT 205
SURFSIDE FL
33154-2606
US

V. Phone/Fax

Practice location:
  • Phone: 917-402-2635
  • Fax:
Mailing address:
  • Phone: 917-402-2635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MILICA SAPER
Title or Position: SOLE MEMBER
Credential: M.D.
Phone: 917-402-2635