Provider Demographics
NPI:1972052215
Name:THE HEALTH OASIS
Entity Type:Organization
Organization Name:THE HEALTH OASIS
Other - Org Name:DR FUHRMAN'S HEALTH OASIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRYDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-279-5221
Mailing Address - Street 1:350 CAMINO GARDENS BLVD
Mailing Address - Street 2:106
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5846
Mailing Address - Country:US
Mailing Address - Phone:855-345-3334
Mailing Address - Fax:
Practice Address - Street 1:350 CAMINO GARDENS BLVD
Practice Address - Street 2:106
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5846
Practice Address - Country:US
Practice Address - Phone:855-345-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10818103TP2701X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty