Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banyan Gulf Breeze LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1386321180

Banyan Gulf Breeze LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Gulf Breeze, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1830 Hickory Shores Rd
Gulf Breeze, FL 32563-9143
Phone: (754) 206-8522
Fax: (850) 677-0312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Psychiatric Hospital Taxonomy 283Q00000X

Record details

NPI number1386321180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Sory — Ceo · (954) 533-7705
NPI enumeratedJuly 3, 2023
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address225 N Federal Hwy, Pompano Beach, FL 33062-4319