Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | ME61718 | FL |
NPI | 1275588303 |
---|---|
Provider Name | Daniel L Wohl |
First Address | Jacksonville, FL 32223-1613 |
Second Address | Jacksonville, FL 32257-8847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 11/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259148100 | (05) | FL |
E83541 | (02) | FL |