Individual
MARK THOMAS MARCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O D
Contact information
Practice address
1788 N. JOG RD., WEST PALM BEACH, FL 33411-0000
(561) 242-1200
(561) 242-1291
Mailing address
1788 N. JOG RD., WEST PALM BEACH, FL 33411-0000
(561) 242-1200
(561) 242-1291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP3248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620930100
—
FL
Enumeration date
06/23/2005
Last updated
03/23/2015
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