MEDICARE: OCEAN VIEW HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH3753	FL

General Provider Information

NPI Number	:	1083830806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN VIEW HEALTH INC

Provider Business Mailing Address
First Line	:	320 1ST ST N STE 709
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-6947
Country	:	US
Telephone Number	:	904-270-2790
Fax Number	:	904-270-2796

Provider Business Practice Location Address
First Line	:	320 1ST ST N STE 709
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-6947
Country	:	US
Telephone Number	:	904-270-2790
Fax Number	:	904-270-2796

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	JOYCE TUCKER
Credential	:
Telephone Number	:	904-272-3440

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	12/31/2012

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Directions to “OCEAN VIEW HEALTH INC ” Practice Location

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