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Individual
PHILLIP J. MACKINDER
Active
Individual
PHILLIP J. MACKINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20841
BCBS
FL
01
—
410040684
MEDICARE RR
FL
01
—
E0073Z
MEDICARE
FL
Enumeration date
08/22/2005
Last updated
07/07/2026
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