Provider Demographics
NPI:1558887471
Name:OCEANS MEDICAL CENTERS INC
Entity Type:Organization
Organization Name:OCEANS MEDICAL CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-820-9117
Mailing Address - Street 1:404 SE 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7236
Mailing Address - Country:US
Mailing Address - Phone:561-810-5714
Mailing Address - Fax:
Practice Address - Street 1:404 SE 23RD AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7236
Practice Address - Country:US
Practice Address - Phone:561-810-5714
Practice Address - Fax:561-810-5479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC12445251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health