NPI | 1669682399 |
---|---|
Doing Business As | WILLIAM P MACK MD |
Entity Type | Organization |
Authorized Contact | WILLIAM PAUL MACK President 813-875-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2007-05-23 |
Last Update Date | 2011-11-07 |