Provider Demographics
NPI:1013198183
Name:OCEAN SPRINGS FAMILY MEDICAL CLINIC PLLC
Entity Type:Organization
Organization Name:OCEAN SPRINGS FAMILY MEDICAL CLINIC PLLC
Other - Org Name:OCEAN VIEW PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:LOBRANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:228-875-7741
Mailing Address - Street 1:3100 BIENVILLE BLVD STE 58
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-5733
Mailing Address - Country:US
Mailing Address - Phone:228-875-4000
Mailing Address - Fax:228-875-4051
Practice Address - Street 1:3100 BIENVILLE BLVD STE 58
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5733
Practice Address - Country:US
Practice Address - Phone:228-875-4000
Practice Address - Fax:228-875-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-17
Last Update Date:2007-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty