Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME76439 | FL |
Y | 208600000X | Surgeon | ME76439 | FL |
NPI | 1013975192 |
---|---|
Provider Name | William L Huether III |
First Address | Lake Mary, FL 32746-3315 |
Second Address | Lake Mary, FL 32746-3315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G91581 | (02) |