Mack, William P
Mack, William P is an individual health care provider with primary practice located at 3109 W. Azeele Street , Tampa FL 33609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Mack, William P can be contacted via phone (813) 875-5437.Contact Information
Primary practice address
3109 W. Azeele Street
Tampa FL 33609
Phone: (813) 875-5437
Fax: (813) 873-9373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME65603 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | ME65603 | Florida |
Profile Details
| NPI number | 1679570816 |
|---|---|
| LBN Legal business name | Mack, William P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Dec 5th, 2017 - about 8 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 | 1679570816 | NPPES |
| Florida | Other | 2074423 | AETNA |
| Florida | MEDICAID | 250029900 | AETNA |
| Florida | Other | 5204189 | AETNA |
| Florida | Other | 6012101 | AETNA |
| Florida | Other | 31233 | AETNA |
| Florida | Other | 0805198 | AETNA |
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