MEDICARE: DR. FRANCE OCCY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician	OS12142	FL
2	207Q00000X	Family Medicine Physician	OS12142	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639513344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCE OCCY D.O.

Provider Business Mailing Address
First Line	:	757 SE 17TH ST # 1228
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2960
Country	:	US
Telephone Number	:	786-837-5177
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 SE 17TH ST # 1228
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2960
Country	:	US
Telephone Number	:	786-837-5177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2013
Last Update Date	:	03/21/2025

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