Organization
EUGENE B WOLCHOK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE B WOLCHOK M.D. (PRESIDENT)
(904) 739-0606
Entity
Organization
Contact information
Practice address
3636 UNIVERSITY BLVD S, SUITE A-2, JACKSONVILLE, FL 32216-4250
(904) 739-0606
(904) 739-0609
Mailing address
3636 UNIVERSITY BLVD S, SUITE A-2, JACKSONVILLE, FL 32216-4250
(904) 739-0606
(904) 739-0609
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME24163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG3081
RAILROAD MEDICARE
FL
Enumeration date
02/08/2007
Last updated
12/21/2007
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