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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
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

Popular Providers