Bridges, Mark Joseph
Bridges, Mark Joseph is an sole proprietor health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805-3019. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bridges, Mark Joseph can be contacted via phone (863) 682-3226.Contact Information
Primary practice address
1600 Lakeland Hills Blvd
Lakeland FL 33805-3019
Phone: (863) 682-3226
Fax: (863) 682-1742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1564 | Florida |
Profile Details
| NPI number | 1619078649 |
|---|---|
| LBN Legal business name | Bridges, Mark Joseph |
| Credentials | L.D.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Nov 16th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619078649 | NPPES |
| Florida | Other | D2069 | BCBS |
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