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Organization
OCEAN MANOR PROFESSIONAL GROUP LLC
Active
Organization
OCEAN MANOR PROFESSIONAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA HERNANDEZ (MANAGER)
(954) 203-3584
Entity
Organization
Contact information
Practice address
4001 N OCEAN DR, STE 305, LAUDERDALE BY THE SEA, FL 33308-5968
(844) 468-1345
(954) 856-2904
Mailing address
4001 N OCEAN DR, STE 301, LAUDERDALE BY THE SEA, FL 33308-5968
(844) 768-1345
(954) 856-2904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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