| Mark W. Gocke Md, Pa | |
|
1025 Military Trl Suite 113 Jupiter FL 33458-7040 | |
| (561) 354-1002 | |
| (561) 354-1003 |
| Full Name | Mark W. Gocke Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1025 Military Trl, Jupiter, Florida |
| Authorized Official Name and Position | Karen Barlow (OWNER BILLING COMPANY) |
| Authorized Official Contact | 5617482889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Gocke Md, Pa 1025 Military Trl Suite 113 Jupiter FL 33458-7040 Ph: (561) 354-1002 | Mark W. Gocke Md, Pa 1025 Military Trl Suite 113 Jupiter FL 33458-7040 Ph: (561) 354-1002 |
| NPI Number | 1174746085 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153506019 |
|---|---|
| Medicare Enrollment ID | O20110420000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174746085 | NPI | - | NPPES |
| ME58960 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME58960 (Florida) | Primary |
| Provider Name | Mark W Gocke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215983697 PECOS PAC ID: 9133167653 Enrollment ID: I20050425000306 |
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