person
Mr. Mark Joseph Bridges, LDO
Optician in Lakeland, Florida
NPI 1619078649

Mark Joseph Bridges is a Optician based in Lakeland, FL and is specialized in Optician. Mark Joseph Bridges practices in Lakeland, FL and has the professional credentials of LDO. The NPI Number for Mark Joseph Bridges is 1619078649 and holds a License No. 1564 (Florida).

The current practice location address for Mark Joseph Bridges is 1600 Lakeland Hills Blvd, Lakeland, FL and can be reached out via phone at 863-682-3226 and via fax at 863-682-1742. You can also correspond with Mark Joseph Bridges through the mailing address at 1600 LAKELAND HILLS BLVD, LAKELAND, FL - 33805-3019 (mailing address contact number: 863-682-3226).

Location: 1600 Lakeland Hills Blvd, Lakeland, FL, 33805-3019
person
Provider Profile Details
NPI Number
1619078649
Provider Name
Mark Joseph Bridges
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
1600 Lakeland Hills Blvd, Lakeland, FL, 33805-3019
Phone Number
863-682-3226
Fax Number
863-682-1742
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D2069 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1600 Lakeland Hills Blvd
City
State
Zip
33805-3019
Phone Number
863-682-3226
Fax Number
863-682-1742
person
Provider Business Mailing Address Details
Address
1600 Lakeland Hills Blvd
City
State
Zip
33805-3019
Phone Number
863-682-3226
Fax Number
863-682-1742
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1564 (Florida)
Definition
Definition to come...
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