Individual
CARL W OCKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13495 GULF BLVD, MADEIRA BEACH, FL 33708-2515
(727) 418-2387
(727) 398-2067
Mailing address
13495 GULF BLVD, MADEIRA BEACH, FL 33708-2515
(727) 418-2387
(727) 398-2067
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA15315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA15315
STATE LICENSE
FL
Enumeration date
02/22/2008
Last updated
02/22/2008
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