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Individual

MR. MARK CALVIN HUNTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
7018 SOUTH WEST 106 PL ACE, MIAMI, FL 33173
(305) 271-5260
(305) 559-3942
Mailing address
7018 SW 106 PL ACE, MIAMI, FL 33173
(305) 271-5260
(305) 559-3942

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3863
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0868361
FL
Enumeration date
02/22/2007
Last updated
07/09/2007
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