Individual
OBERZINER V WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110741
FL
363AM0700X
Medical Physician Assistant
Primary
PA9110741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023185900
—
FL
Enumeration date
10/26/2017
Last updated
02/24/2018
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