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General NPI Number Information
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NPI Number | 1124712039
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Entity Type | Organization
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Legal Business Name | OCEAN CARE AGENCY LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 4110 CENTER POINTE DR STE 218
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City | FORT MYERS
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State | FL
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Zip | 33916-9424
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Country | US
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Telephone | 239-372-2990
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Fax | 813-864-0477
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Provider Business Mailing Address
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Address Line | 4110 CENTER POINTE DR STE 218
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City | FORT MYERS
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State | FL
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Zip | 33916-9424
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Country | US
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Telephone | 239-372-2990
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Fax | 813-864-0477
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JENELLE DAVIS
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Credential |
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Telephone | 239-372-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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