Individual
NICHOLAS WOLHAUPTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 N SOCRUM LOOP RD, SUITE 100, LAKELAND, FL 33809-4179
(863) 853-3331
Mailing address
6500 N SOCRUM LOOP RD, SUITE 100, LAKELAND, FL 33809-4179
(863) 853-3331
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA9110064
FL
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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