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Organization
MARK W. GOCKE MD, PA
Active
Organization
MARK W. GOCKE MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BARLOW (OWNER BILLING COMPANY)
(561) 748-2889
Entity
Organization
Contact information
Practice address
1025 MILITARY TRL, SUITE 113, JUPITER, FL 33458-7040
(561) 354-1002
(561) 354-1003
Mailing address
1025 MILITARY TRL, SUITE 113, JUPITER, FL 33458-7040
(561) 354-1002
(561) 354-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME58960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME58960
STATE LICENSE
FL
Enumeration date
04/10/2007
Last updated
08/22/2020
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