OCOEE MEDICAL LLC NPI 1669861373

NPI Information

  • NPI: 1669861373
  • Provider Name: OCOEE MEDICAL LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 4220 OCOEE ST N
    CLEVELAND, TN
    ZIP 37312
  • Phone: (423) 479-4220

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NPI Details

OCOEE MEDICAL LLC is a general practice in Cleveland, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OCOEE MEDICAL LLC NPI is 1669861373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4220 OCOEE ST N
CLEVELAND, TN
ZIP 37312-829
Phone: (423) 479-4220
Fax: (423) 339-0294

The provider's authorized official is Otis Brandon Forrester .
The authorized official title is President and has the following contact phone number (423) 479-4220.

The enumeration date for this NPI number is 1/19/2015 and was last updated on 1/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3363L00000XNurse PractitionerTENNESSEENo
4208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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