Individual
MARK ALAN POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
447 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233-4004
(904) 247-0211
(904) 246-6115
Mailing address
447 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233-4050
(904) 247-0211
(904) 246-6115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078899600
—
FL
Enumeration date
05/15/2006
Last updated
10/25/2011
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