| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARK PAAUW | 1710515846 | 2024-05-12 |
Mark Paauw is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710515846. Registration indicates Mark Paauw is a provider of services with a specialization in Ophthalmology Glaucoma Specialist, Allopathic & Osteopathic Physicians (Ophthalmology, ) Access to Ophthalmic Care (Allopathic & Osteopathic Physicians, Ophthalmology) (Allopathic & Osteopathic Physicians, Ophthalmology) (Ophthalmology, ) (Vision/Audiology, ) (Ophthalmology, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mark Paauw MD |
| Practice Office Address | 11512 LAKE MEAD AVE UNIT 534 JACKSONVILLE, FL US |
| Practice Office Telephone | 9045642020 |
| Mailing Address | 11512 LAKE MEAD AVE UNIT 534 JACKSONVILLE, FL 322565835 US |
| Code | Practice | License No State |
|---|---|---|
| 207WX0009X | Ophthalmology Glaucoma Specialist Allopathic & Osteopathic Physicians Ophthalmology | ME168044
FL |
| 207W00000X PRIMARY | Access to Ophthalmic Care Allopathic & Osteopathic Physicians Ophthalmology Allopathic & Osteopathic Physicians Ophthalmology Ophthalmology Vision/Audiology Ophthalmology Allopathic & Osteopathic Physicians | ME168044
FL |