Gendal, Mark Andrew

Gendal, Mark Andrew is an individual health care provider with primary practice located at 2059 N University Dr , Coral Springs FL 33071-6132. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gendal, Mark Andrew can be contacted via phone (954) 752-0589.

Contact Information

Primary practice address
2059 N University Dr Coral Springs FL 33071-6132
Fax: (954) 753-1101
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1601 Florida

Profile Details

NPI number 1629167150
LBN Legal business name Gendal, Mark Andrew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers