Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME90567 | FL |
N | 207QA0401X | Family Doctor - Addiction Medicine | ME90567 | FL |
NPI | 1174636724 |
---|---|
Provider Name | Aaron Wohl |
First Address | Fort Myers, FL 33916-9416 |
Second Address | Fort Myers, FL 33901-5864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 16/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
252000100 | (05) | FL |
I15006 | (02) | FL |