Organization
OCEAN MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO PETRY D.O. (VICE-PRESIDENT)
(772) 785-8000
Entity
Organization
Contact information
Practice address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(772) 785-8000
(772) 785-8150
Mailing address
1850 SW FOUNTAINVIEW BLVD, SUITE 104, PORT SAINT LUCIE, FL 34986-3443
(772) 785-8000
(772) 785-8150
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS9452
FL
Other
Enumeration date
08/23/2007
Last updated
06/04/2009
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