Smith, Mark W.

Smith, Mark W. is an individual health care provider with primary practice located at 620 10Th Street N. , St Petersburg FL 33705-1407. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Mark W. can be contacted via phone (727) 824-7134.

Contact Information

Primary practice address
620 10Th Street N. St Petersburg FL 33705-1407
Phone: (727) 824-7134
Fax: (727) 824-8329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2260 Florida

Profile Details

NPI number 1417943598
LBN Legal business name Smith, Mark W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 9th, 2022 - about 2 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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