| Oh Marketing Services Dba Beachside Rehab | |
|
4005 N A1a Ste 123 Fort Pierce FL 34949-8524 | |
| (772) 252-1125 | |
| Not Available |
| Full Name | Oh Marketing Services Dba Beachside Rehab |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4005 N A1a Ste 123, Fort Pierce, Florida |
| Authorized Official Name and Position | Keli Kornmiller (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5616728345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oh Marketing Services Dba Beachside Rehab 4005 N A1a Ste 123 Fort Pierce FL 34949-8524 Ph: (772) 252-1125 | Oh Marketing Services Dba Beachside Rehab 4005 N A1a Ste 123 Fort Pierce FL 34949-8524 Ph: (772) 252-1125 |
| NPI Number | 1629447313 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629447313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 5601 (Florida) | Primary |
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