Healthcare Provider Details

I. General information

NPI: 1205254737
Provider Name (Legal Business Name): OCCY MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S ANDREWS AVE
FORT LAUDERDALE FL
33316-2510
US

IV. Provider business mailing address

13762 W STATE ROAD 84 STE 381
DAVIE FL
33325-5305
US

V. Phone/Fax

Practice location:
  • Phone: 305-904-7876
  • Fax:
Mailing address:
  • Phone: 786-837-5177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberOS12142
License Number StateFL

VIII. Authorized Official

Name: DR. FRANCE OCCY
Title or Position: MANAGER
Credential: DO
Phone: 305-904-7876