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Provider Information for 1467486605

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MR. STEVEN W MOCK PA

Gender: MALE

Individual NPI: 1467486605

Calendar   Last Updated:  2019-09-25
  Certification Date: 

Details

Name Value
NPI 1467486605
Enumeration Date 2006-07-11
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2629 WINDGUARD CIR STE 102
WESLEY CHAPEL, FL 33544-7355
United States

Phone: 813-388-2948 | Fax: 813-388-6827
View Map External Link
Primary Practice Address 2553 WINDGUARD CIR
WESLEY CHAPEL, FL 33544
United States

Phone: 813-388-2948 | Fax: 813-388-6827
View Map External Link
Secondary Practice Address 426 W BRANDON BLVD
BRANDON, FL 33511-5002
United States

Phone: 813-388-2948 | Fax: 813-388-6827
View Map External Link

13140 ELK MOUNTAIN DR STE B
RIVERVIEW, FL 33579-7182
United States

Phone: 813-388-2948 | Fax: 813-574-7761
View Map External Link

38011 ARBOR RIDGE DR
ZEPHYRHILLS, FL 33540-1301
United States

Phone: 813-395-5127 | Fax: 813-355-3085
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 291537500
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363AM0700X - Physician Assistant Medical FL PA1545