Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Socheatra P Bokach, PAC

Individual provider Physician Assistant · NPI 1851622773

Socheatra P Bokach, PAC is a Physician Assistant in Venice, Florida. Qualified in 2008, 18 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California and Florida.

Years since qualifying
18
Licensed in
CA, FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

177 Center Rd
Venice, FL 34285-5572
Phone: (941) 207-5350
Fax: (941) 207-5352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115856 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA20153 (CA)

Record details

NPI number1851622773
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 15, 2010
Last updated in NPPESMarch 29, 2024
Certification dateMarch 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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