Wilson, Mark Joseph

Wilson, Mark Joseph is an individual health care provider with primary practice located at 655 Brandon Town Center Mall , Brandon FL 33511-4770. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilson, Mark Joseph can be contacted via phone (813) 681-1036.

Contact Information

Primary practice address
655 Brandon Town Center Mall Brandon FL 33511-4770
Phone: (813) 681-1036
Fax: (813) 651-0718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 1872 Florida

Profile Details

NPI number 1407883895
LBN Legal business name Wilson, Mark Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 15th, 2013 - about 12 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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