Individual
MR. GUNTER WITTHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.,
Contact information
Practice address
1945 W COUNTY ROAD 419, SUITE 1101, CHULUOTA, FL 32766-9555
(407) 278-1790
Mailing address
1945 W COUNTY ROAD 419, SUITE 1101, CHULUOTA, FL 32766-9555
(407) 278-1790
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2936
FL
Other
Enumeration date
06/29/2009
Last updated
08/10/2011
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