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Organization

WILLIAM MACK M D P A

Active
Other names
William P Mack MD
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM PAUL MACK M.D., P.A. (PRESIDENT)
(813) 875-5437
Entity
Organization

Contact information

Practice address
3109 W. AZEELE STREET, TAMPA, FL 33609
(813) 875-5437
(813) 873-9373
Mailing address
3109 W. AZEELE STREET, TAMPA, FL 33609
(813) 875-5437
(813) 873-9373

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
05/23/2007
Last updated
11/07/2011
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