Search › Florida › 122300000X
Brandon Mack, D.D.S
NPI 1659761765 · on the registry since 2015
Practice
- Address
- 111 N 12th St
Suite 1105
Tampa, FL 33602 - Phone
- (813) 397-3632
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-08
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