Provider Demographics
NPI:1700969573
Name:STEVEN T. BOCKIAN, M.D., PA
Entity Type:Organization
Organization Name:STEVEN T. BOCKIAN, M.D., PA
Other - Org Name:DOCTORS ON CALL SERVICE; DOCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:TEO
Authorized Official - Last Name:BOCKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-399-3627
Mailing Address - Street 1:PO BOX 2637
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-2637
Mailing Address - Country:US
Mailing Address - Phone:407-399-3627
Mailing Address - Fax:407-345-4780
Practice Address - Street 1:9324 CAROLVIEW WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836-6305
Practice Address - Country:US
Practice Address - Phone:407-399-3627
Practice Address - Fax:407-345-4780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 68147207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty