| Sobriety On The Sea | |
|
2632 Hollywood Blvd 305 Hollywood FL 33020-4847 | |
| (954) 923-7333 | |
| (954) 923-7722 |
| Full Name | Sobriety On The Sea |
|---|---|
| Speciality | Internal Medicine |
| Location | 2632 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Danette Arthur (OWNER) |
| Authorized Official Contact | 9549237333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sobriety On The Sea 4302 Hollywood Blvd # 125 Hollywood FL 33021-6635 Ph: (954) 923-7333 | Sobriety On The Sea 2632 Hollywood Blvd 305 Hollywood FL 33020-4847 Ph: (954) 923-7333 |
| NPI Number | 1730408501 |
|---|---|
| Provider Enumeration Date | 05/19/2010 |
| Last Update Date | 02/18/2020 |
| Medicare PECOS PAC ID | 0446270433 |
|---|---|
| Medicare Enrollment ID | O20051206000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730408501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0053829 (Florida) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | ME0053829 (Florida) | Primary |
| Provider Name | Danette Arthur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356406383 PECOS PAC ID: 5799744702 Enrollment ID: I20041006000353 |
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