Marciano, Mark Thomas

Marciano, Mark Thomas is an individual health care provider with primary practice located at 1788 N. Jog Rd. , West Palm Beach FL 33411-0000. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marciano, Mark Thomas can be contacted via phone (561) 242-1200.

Contact Information

Primary practice address
1788 N. Jog Rd. West Palm Beach FL 33411-0000
Phone: (561) 242-1200
Fax: (561) 242-1291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP3248 Florida

Profile Details

NPI number 1528064656
LBN Legal business name Marciano, Mark Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 23rd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528064656 NPPES
Florida MEDICAID 620930100

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