William Mack M D P a

NPI #1669682399 in Tampa, Florida

Provider Information

NPI Number: 1669682399
Entity Type: Organization
Organization Name: William Mack M D P a
Primary Specialty: Ophthalmology
Enumeration Date: May 23, 2007
Last Updated: Nov 7, 2011

Practice Location

Address: 3109 W. AZEELE STREET
City: Tampa
State: Florida
ZIP Code: 33609
Phone: (813) 875-5437

Authorized Official

Name: MR. WILLIAM PAUL MACK, M.D., P.A.
Title: PRESIDENT
Phone: (813) 875-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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