Search › Florida › 156FX1800X
Marc Boland, LDO
NPI 1437827060 · on the registry since 2021 · sole proprietor
Practice
- Address
- 104 N 2nd St
Fort Pierce, FL 34950 - Phone
- (772) 812-9824
- Organisation at this address
- Taylor Creek Optical Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida