Search › Florida › 152W00000X
Mark Humphries, OD
NPI 1467550731 · on the registry since 2006 · sole proprietor
Practice
- Address
- 21611 Village Lakes Shopping Center
Land O Lakes, FL 34639 - Phone
- (813) 949-1982
- Fax
- (813) 949-0422
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
152W00000X - Licence states on file
- FL, LA, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-22
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