Mark Fitzpatrick Mansoir, O.D.

NPI #1083826051 in Lantana, Florida

Provider Information

NPI Number: 1083826051
Entity Type: Individual
Name: Mark Fitzpatrick Mansoir, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 4, 2007
Last Updated: Jan 24, 2012

Practice Location

Address: 1873 LANTANA RD
City: Lantana
State: Florida
ZIP Code: 33462-2601
Phone: (561) 533-5115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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