# FLOIRDA OASIS BAYBERRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Oasis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336970367
- **Authorized official:** JONATHAN MARK SOBELMAN LMHC (CEO)
- **Authorized official phone:** (954) 655-6735

## Contact information

- **Practice address:** 717 BAYBERRY DRIVE, LAKE PARK, FL 33403
- **Practice address phone:** (561) 249-1174
- **Practice address fax:** (954) 901-2801
- **Mailing address:** 431 SE 14TH AVE, POMPANO BEACH, FL 33060-7621
- **Mailing address phone:** (954) 655-6735
- **Mailing address fax:** (954) 901-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 08/12/2024