National Provider Identifier Database

WILLIAM P MACK, MD – NPI #1679570816
Ophthalmic Plastic and Reconstructive Surgery

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.


Contact Information

WILLIAM P MACK, MD
3109 W. AZEELE STREET
TAMPA, FL33609
Phone: 813-875-5437
Fax: 813-873-9373
Website:
Specialty Taxonomy Code
* Ophthalmic Plastic and Reconstructive Surgery 207WX0200X
Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for WILLIAM P MACK

NPI Number 1679570816
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 12/05/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME65603
  • FL Medicaid: 250029900
  • FL Other: 2074423 AETNA
  • FL Other: 5204189 AETNA
  • FL Other: 31233 BCBS FLORIDA
  • FL Other: 0805198 UNITED HEALTHCARE
  • NY Other: 6012101 GHI
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for WILLIAM P MACK, MD

There are currently no reviews for WILLIAM P MACK, MD


NPIdb - Home
v2.201