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BANYAN GULF BREEZE LLC
NPI 1386321180
Substance Abuse Rehabilitation Facility in Gulf Breeze, FL

Active since July 03, 2023
1830 HICKORY SHORES RD, GULF BREEZE, FL 32563(754) 206-8522(850) 677-0312 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Jul 3, 2023 (2 updates tracked since 2023).

About Banyan Gulf Breeze Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANYAN GULF BREEZE LLC (NPI 1386321180) is a healthcare organization registered as a substance abuse rehabilitation facility in Gulf Breeze, Florida and active in the NPI registry since July 2023. The organization lists John Sory, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386321180
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBANYAN GULF BREEZE LLC
Location Address1830 HICKORY SHORES RDGulf Breeze, FL 32563-9143
Mailing Address225 N Federal HwyPompano Beach, FL 33062-4319 · (954) 533-7705 · Fax (954) 781-7173
Phone(754) 206-8522
Fax(850) 677-0312
Organization SubpartNo
Authorized OfficialJohn SoryCeo · (954) 533-7705
Enumeration DateJuly 3, 2023
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1386321180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
1830 HICKORY SHORES RD, Gulf Breeze, FL 32563
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Other Identifiers 1

Medicaid122549700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MADELINE CHAMBERS APRN
Nurse Practitioner (Psychiatric/Mental Health)
1830 HICKORY SHORES RD
GULF BREEZE, FL 32563
Santa Rosa County (877) 959-9677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banyan Gulf Breeze LLC's NPI number?

The NPI number for Banyan Gulf Breeze LLC is 1386321180. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Banyan Gulf Breeze LLC located?

Banyan Gulf Breeze LLC is located at 1830 Hickory Shores Rd, Gulf Breeze, FL 32563. The listed phone number is (754) 206-8522.

What is Banyan Gulf Breeze LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

What insurance does Banyan Gulf Breeze LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Wellpoint list Banyan Gulf Breeze LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banyan Gulf Breeze LLC was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.