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Contact Information

WILLIAM P MACK, MD
3109 W. AZEELE STREET
TAMPA, FL33609
 Phone: 813-875-5437
 Fax: 813-873-9373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for WILLIAM P MACK · (Male)

NPI Number 1679570816
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 12/05/2017 - About 9 years ago
Sole proprietor 1 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(s) Not Available
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.

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