Provider Demographics
NPI:1366036022
Name:OCN BUSINESS,LLC
Entity Type:Organization
Organization Name:OCN BUSINESS,LLC
Other - Org Name:OCN BUSINESS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-859-8105
Mailing Address - Street 1:10126 CAMELBACK LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-4715
Mailing Address - Country:US
Mailing Address - Phone:954-859-8105
Mailing Address - Fax:
Practice Address - Street 1:525 S FLAGLER AVE UNIT 22
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-7913
Practice Address - Country:US
Practice Address - Phone:954-859-8105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114545400Medicaid
FL111754300Medicaid