Individual
DR. KEION MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D,
Contact information
Practice address
801 E BAKER ST, PLANT CITY, FL 33563-3652
(813) 653-6100
Mailing address
2161 E COUNTY ROAD 540A # 254, LAKELAND, FL 33813-3794
(484) 477-2579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
270A00645900
NJ
152W00000X
Optometrist
OEG002772
PA
152W00000X
Optometrist
Primary
OPC5282
FL
Other
Enumeration date
06/21/2013
Last updated
03/22/2024
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