BLUE EYED OCEAN PLLC (NPI# 1316304983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316304983 |
Entity Type | Organization |
Organization Name | BLUE EYED OCEAN PLLC |
Other Organization Name | HACKETT HOLISTIC HEALTH |
Practice Address |
108 Intracoastal Pointe Dr Suite 100 Jupiter FL 33477-5036 |
Mailing Address |
1605 S Us Highway 1 Unit E102 Jupiter FL 33477-8436 |
Practice Telephone | 5616324777 |
Mailing Telephone | 5616324777 |
Enumeration Date | 2016-01-26 |
Last Update Date | 2016-01-26 |
Authorized Official Name | DR. TRACY L HACKETT (PRESIDENT) |
Authorized Official Telephone | 5616324777 |
Authorized Official Credential | A.P., DOM, L.AC. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
AP3428 | FL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Hackett Holistic Health | Doing Business As Name - Organization |
Street Address |
108 INTRACOASTAL POINTE DR SUITE 100 |
City | JUPITER |
State | FL |
Zip Code | 33477-5036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659337814 | Cheri L Hertel | Acupuncturist | 108 Intracoastal Pointe Dr, Suite 200, Jupiter, FL 33477-5036 | 2006-04-25 |
1033507330 | Jplrc | Orthopaedic Surgery | 108 Intracoastal Pointe Dr, Jupiter, FL 33477-5036 | 2015-01-08 |
1922355015 | Jason Moniz | Physician Assistant | 108 Intracoastal Pointe Dr, Suite 300, Jupiter, FL 33477-5036 | 2012-08-08 |
1518220565 | Pgl Medical Group, Pa | Internal Medicine | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2012-06-24 |
1114187093 | Linda M Berko | Social Worker | 108 Intracoastal Pointe Dr, Suite 200, Jupiter, FL 33477-5036 | 2008-06-13 |
1144307786 | Predrag Knez | Internal Medicine | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2006-11-01 |
1013026889 | Palm Beach Heart Clinic Pa | Internal Medicine | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2006-08-29 |
1770591638 | Tatiana Knez | Internal Medicine | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2006-08-04 |
1265467716 | Zbigniew Jacob Litwinczuk | Internal Medicine | 108 Intracoastal Pointe Dr, Ste 200, Jupiter, FL 33477-5036 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417576513 | Sanctuary Healthcare LLC | Home Health | 100 Front Street, Suite 300, Jupiter, FL 33477 | 2020-04-09 |
1538503669 | Aimee Bunyea | Pharmacist | 1118 11th Court, Jupiter, FL 33477 | 2013-04-19 |
1447592571 | Blue Water Doctors of Jupiter, LLC | Family Medicine | 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 | 2013-03-27 |
1477806115 | Brad D. Simons, Md,phd, Pa | Ophthalmology | 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 | 2012-10-18 |
1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
1366720682 | Physical Therapy Institute and Aquatic Rehab, Inc. | Physical Therapist | 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 | 2011-08-03 |
1770714578 | Payal P Chokshi | Dentist | 759 Parkway Street, Suite# 103, Jupiter, FL 33477 | 2009-07-29 |
1205089174 | Priscilla J Zuckerberg | Speech-Language Pathologist | 110 Front St Ste 300, Jupiter, FL 33477 | 2008-10-23 |
1083866727 | Deanna Talmud | Social Worker | 2044 Staysail Lane, Jupiter, FL 33477 | 2008-10-14 |
1417123290 | Gayle Gerardi Pulice | Massage Therapist | 927 North A1a, Suite A105, Jupiter, FL 33477 | 2008-05-01 |
Find all providers in zip 33477 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619457199 | Hp Mso, LLC | Clinic/Center | 1090 Jupiter Park Dr Fl 2, Jupiter, FL 33458-8939 | 2018-08-15 |
1902382278 | Jupiter Chiropractic and Sports Medicine, Pllc | Clinic/Center | 1701 Military Trl Ste 145b, Jupiter, FL 33458-6330 | 2018-07-19 |
1902258833 | Thomas Smith | Clinic/Center | 1001 N Us Highway 1, Suite 500, Jupiter, FL 33477-4482 | 2016-07-03 |
1710231501 | Core Within Healing Center | Clinic/Center | 17380 Alt A1a, Jupiter, FL 33477-5860 | 2012-11-01 |
1871819532 | Active Life Solutions, Inc. | Clinic/Center | 850 W Indiantown Rd, Suite C, Jupiter, FL 33458-7539 | 2010-04-20 |
1629307400 | Jacob J. Freiman, M.d., P.a. | Clinic/Center | 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3097 | 2009-12-08 |
1679705776 | Unified Health Systems Inc | Clinic/Center | 4601 Military Trl, Suite 205, Jupiter, FL 33458-4834 | 2009-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285235945 | Trident Health Consultants,llc | Clinic/Center | 5781 Lee Blvd Ste 208-553, Lehigh Acres, FL 33971-6337 | 2020-11-07 |
1598366684 | New Health Chiropractic Wellness Center | Clinic/Center | 2695 N Military Trl Ste 17, West Palm Beach, FL 33409-2946 | 2020-11-04 |
1053919217 | Salei Primary Care Inc | Clinic/Center | 600 Parkview Dr Apt 402, Hallandale Beach, FL 33009-2970 | 2020-10-10 |
1285231548 | American Current Care P.a. | Clinic/Center | 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 | 2020-10-08 |
1285240333 | Auto Accident Health & Rehab, LLC | Clinic/Center | 2140 Bruton Blvd, Orlando, FL 32805-5717 | 2020-09-23 |
1497361166 | Solutions To Home Care LLC | Clinic/Center | 3610 Pinehurst Dr, Lake Worth, FL 33467-0910 | 2020-09-18 |
1386259323 | Brandon Stem Cell Clinic LLC | Clinic/Center | 1602 Oakfield Dr Ste 101, Brandon, FL 33511-0827 | 2020-09-15 |
1285249987 | Derma Beauty Spa Medical Clinic | Clinic/Center | 1470 Nw 107th Ave Ste M, Sweetwater, FL 33172-2735 | 2020-09-10 |
1225642622 | Dor Medical Services | Clinic/Center | 103 Landings Blvd, Greenacres, FL 33413-2027 | 2020-09-02 |
1952915563 | Ngozi Global Healthcare | Clinic/Center | 626 Eastwood Ct, Altamonte Springs, FL 32714-7304 | 2020-09-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BLUE EYED OCEAN PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.