MEDICARE: OCEANS HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WW0000X	Wound Care Registered Nurse
2	261Q00000X	Clinic/Center
3	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1952154056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEANS HEALTHCARE

Provider Business Mailing Address
First Line	:	1555 PALM BEACH LAKES BLVD STE 950
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2341
Country	:	US
Telephone Number	:	337-315-7927
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 PALM BEACH LAKES BLVD STE 950
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2341
Country	:	US
Telephone Number	:	337-315-7927
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	TYLER STOUT
Credential	:
Telephone Number	:	337-315-7927

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	04/09/2024

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Directions to “OCEANS HEALTHCARE ” Practice Location

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