Individual
MARK FITZPATRICK MANSOIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1873 LANTANA RD, LANTANA, FL 33462-2601
(561) 533-5115
Mailing address
9312 EQUUS CIR, BOYNTON BEACH, FL 33472-4308
(561) 733-5877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 003364
FL
Other
Enumeration date
05/04/2007
Last updated
01/24/2012
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