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Mark Thomas Marciano, O D

Optometrist in West Palm Beach, FL. Individual provider (NPI-1).

NPI number1528064656
StatusActive
Last updated in NPPESMar 23, 2015

Details

NPI
1528064656
Entity type
Individual (NPI-1)
Name
Mark Thomas Marciano
Credential
O D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2005
Last updated
Mar 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOP3248FLYes

Practice location

1788 N. Jog Rd.
West Palm Beach, FL 33411-0000

Phone 561-242-1200 · Fax 561-242-1291

Mailing address

1788 N. Jog Rd.
West Palm Beach, FL 33411-0000

Phone 561-242-1200 · Fax 561-242-1291

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