Individual
DR. MARK THOMAS WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6810 N DAVIS HWY, PENSACOLA, FL 32504-6304
(850) 477-0194
(850) 477-7025
Mailing address
PO BOX 6254, PENSACOLA, FL 32503-0254
(850) 380-4332
(850) 477-7025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07885400
—
FL
01
—
260283946
NVA
FL
01
—
44939
AVESIS
FL
01
—
47093
SPECTERA
FL
01
—
FL2316
EYEMED
FL
Enumeration date
11/28/2006
Last updated
07/04/2008
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