Individual
DR. MARK WILIIAM PITTALUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5499 N FEDERAL HWY, SUITE E, BOCA RATON, FL 33487-4993
(561) 988-0300
(561) 988-0350
Mailing address
5499 N FEDERAL HWY, SUITE E, BOCA RATON, FL 33487
(561) 988-0300
(561) 988-0350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28370
SPECTERA
FL
01
—
50187
DAVIS VISION
FL
01
—
5619880300
VSP
FL
05
—
620863100
—
FL
01
—
87726
UNITED HEALTH CARE
FL
01
—
FL2886
EYE MED
FL
Enumeration date
05/03/2006
Last updated
12/03/2015
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