Provider Demographics
NPI:1295974418
Name:THE OCCUPATIONAL HEALTH CENTER , INC
Entity type:Organization
Organization Name:THE OCCUPATIONAL HEALTH CENTER , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-965-1288
Mailing Address - Street 1:125 NEWBERN CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3348
Mailing Address - Country:US
Mailing Address - Phone:863-965-1288
Mailing Address - Fax:863-967-1297
Practice Address - Street 1:125 NEWBERN CIR
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3348
Practice Address - Country:US
Practice Address - Phone:863-965-1288
Practice Address - Fax:863-967-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58218261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE66537OtherUPIN