Individual
WILLIAM P MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
ME65603
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
ME65603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805198
UNITED HEALTHCARE
FL
01
—
2074423
AETNA
FL
05
—
250029900
—
FL
01
—
31233
BCBS FLORIDA
FL
01
—
5204189
AETNA
FL
01
—
6012101
GHI
NY
Enumeration date
07/01/2005
Last updated
12/05/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us