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Individual
DR. MARK WILIIAM PITTALUGA
Active
Individual
DR. MARK WILIIAM PITTALUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28370
SPECTERA
FL
01
—
50187
DAVIS VISION
FL
01
—
5619880300
COMPBENEFITS
FL
05
—
620863100
—
FL
01
—
87726
UNITED HEALTH CARE
FL
01
—
FL2886
EYE MED
FL
Enumeration date
05/03/2006
Last updated
12/03/2015
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