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General NPI Number Information
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NPI Number | 1932081114
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Entity Type | Organization
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Legal Business Name | OCEAN CARE AGENCY LLC TC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 6691 NOB HILL RD STE 102
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City | TAMARAC
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State | FL
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Zip | 33321-6405
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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 | 4100 CENTER POINTE DR STE 109
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City | FORT MYERS
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State | FL
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Zip | 33916-9460
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENELLE B 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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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