Provider Demographics
NPI:1053077487
Name:OCEAN PEDIATRICS, LLC
Entity Type:Organization
Organization Name:OCEAN PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MILICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-402-2635
Mailing Address - Street 1:9401 COLLINS AVE UNIT 205
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2606
Mailing Address - Country:US
Mailing Address - Phone:917-402-2635
Mailing Address - Fax:
Practice Address - Street 1:9401 COLLINS AVE UNIT 205
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-2606
Practice Address - Country:US
Practice Address - Phone:917-402-2635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty