Individual
MR. ALBERT M. BOHOLST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 S.E. 5TH TERRACE, CRYSTAL RIVER, FL 34429
(352) 795-0141
(352) 795-0141
Mailing address
P.O. BOX 958, CRYSTAL RIVER, FL 34423
(352) 795-0141
(352) 795-0141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME36564
FL
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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