Provider Demographics
NPI:1346443124
Name:MOCARSKI, ERIC JOSEPH (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JOSEPH
Last Name:MOCARSKI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:9750 NW 33RD ST STE 218
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4081
Practice Address - Country:US
Practice Address - Phone:954-755-3801
Practice Address - Fax:954-755-5229
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2022-11-16
Deactivation Date:
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Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9101005363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9928996OtherAETNA
FL1805605OtherCIGNA
FLP01128601OtherRAILROAD MCR
FL1227523OtherWELLCARE
FLP0010099OtherFLORIDA HEALTHCARE PLUS
FLP945576OtherOPTIMUM
FLY0EH7OtherBCBS FL
FLP1005622OtherFREEDOM HEALTH
FL394786OtherAVMED