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CARL W OCKEN LMT

>> Contractor >> Other Service Providers

Registrant NPI Number: 1639348774

Individual Registrant:
 CARL W OCKEN LMT
Gender: M
Sole Proprietor

Location and contact information for practice:
13495 GULF BLVD  MADEIRA BEACH, FL 33708-2515 US
Tel: 727-418-2387  Fax: 727-398-2067

Contact information for business:
13495 GULF BLVD  MADEIRA BEACH, FL 33708-2515 US
Tel: 727-418-2387  Fax: 727-398-2067

Registration Information:
NPI: 1639348774
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor
FLMA15315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSEMA15315FL01




HEALTH CARE JOBS FL - Page 1



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