Individual
DR. STEPHEN MARK WOLCHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3636 UNIVERSITY BLVD S, A2, JACKSONVILLE, FL 32216-4250
(904) 739-0606
Mailing address
3636 UNIVERSITY BLVD S, A2, JACKSONVILLE, FL 32216-4250
(904) 739-0606
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME97993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME97993
MEDICAL LICENSE
FL
01
—
P00428440
RAILROAD MEDICARE
FL
Enumeration date
02/19/2007
Last updated
12/21/2007
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