UNDERSEA OXYGEN CLINIC LLC


Address: 701 N West Shore Blvd Fl 3, Tampa, FL 33609-1122
Phone: 8135337093

UNDERSEA OXYGEN CLINIC LLC (NPI# 1427569920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427569920
Entity Type Organization
Organization Name UNDERSEA OXYGEN CLINIC LLC
Practice Address 701 N West Shore Blvd Fl 3
Tampa
FL 33609-1122
Practice Telephone 8135337093
Mailing Telephone 8135337093
Enumeration Date 2017-10-24
Last Update Date 2018-01-03
Authorized Official Name PROF. JOSEPH DITURI (PRESIDENT)
Authorized Official Telephone 8135337095
Authorized Official Credential PHD(C)
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center IBUM-2343-0010 FL Ambulatory Health Care Facilities

Office Location

Street Address 701 N WEST SHORE BLVD FL 3
City TAMPA
State FL
Zip Code 33609-1122

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1043735657 Mary Elizabeth Osbach Registered Nurse 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 2017-08-04
1497275317 Jeilyn M Jimenez Developmental Therapist 550 N Reo Street, Tampa, FL 33609 2017-06-21
1033658513 Adela Reeb Specialist/Technologist 909 North Dale Mabry Hwy, Tampa, FL 33609 2017-02-17
1033561261 Abigail Marie Richardson Developmental Therapist 555 North Reo Street, Tampa, FL 33609 2016-07-12
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1154711505 Health E Systems, LLC Transportation Broker 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 2015-01-23
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City TAMPA
Zip Code 33609

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Dataset Information

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.

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