# OCEANSIDE LUXURY CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAYES MEDICAL ASSOCIATES PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487794681
- **Legal business name:** HAYES MEDICAL ASSOCIATES PA
- **Authorized official:** JOHN R HAYES MD (CEO)
- **Authorized official phone:** (772) 216-1871

## Contact information

- **Practice address:** 2012 JACARANDA AVE, FORT PIERCE, FL 34949-3326
- **Practice address phone:** (772) 216-1871
- **Mailing address:** 2012 JACARANDA AVE, FORT PIERCE, FL 34949-3326
- **Mailing address phone:** (772) 216-1871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME46941 | FL | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 01/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 44200 | PROVIDER NUMBER | FL |
| 01 | — | ME46941 | MEDICAL LICENSE NUMBER | FL |