Provider Demographics
NPI:1528021748
Name:OKUN, JOHN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:OKUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:721 W ROBERTSON ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4934
Mailing Address - Country:US
Mailing Address - Phone:813-684-5571
Mailing Address - Fax:813-654-3671
Practice Address - Street 1:721 W ROBERTSON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4934
Practice Address - Country:US
Practice Address - Phone:813-684-3707
Practice Address - Fax:813-654-3671
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2016-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0044550207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30706OtherBC/BS
FL040054800Medicaid
FL1009602OtherCAREPLUS
FL203716OtherAVMED
FLP01184815OtherRAILROAD MEDICARE
FL0624178OtherAETNA
FL0624178OtherAETNA
FLP01184815OtherRAILROAD MEDICARE
FL1009602OtherCAREPLUS