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General NPI Number Information
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NPI Number | 1205254737
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Entity Type | Organization
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Legal Business Name | OCCY MEDICAL
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1600 S ANDREWS AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2510
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Country | US
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Telephone | 305-904-7876
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Fax |
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Provider Business Mailing Address
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Address Line | 13762 W STATE ROAD 84 STE 381
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City | DAVIE
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State | FL
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Zip | 33325-5305
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Country | US
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Telephone | 786-837-5177
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. FRANCE OCCY
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Credential | DO
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Telephone | 305-904-7876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | OS12142
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License Number State | FL
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