Albert M. Boholst M.D.

NPI 1710116520 - Surgery - 208600000X

NPI Details
NPI 1710116520
Gender Male
Enumeration Date 07/14/2009
Last Updated 07/14/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
730 S.E. 5TH TERRACE
CRYSTAL RIVER FL, 34429, US
Phone (352) 795-0141
Fax (352) 795-0141
Business Location
P.O. BOX 958
CRYSTAL RIVER FL, 34423, US
Phone (352) 795-0141
Fax (352) 795-0141
Toxanomy
Taxonomy Code 208600000X
License State Florida
License Number ME36564
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According to our database, Mr. Albert M. Boholst M.D. NPI is 1710116520, taxonomy code is 208600000X and license number is ME36564, license state is located at Florida. Albert M. Boholst M.D. physically located at 730 S.e. 5th Terrace, Crystal River FL, 34429. NPI Number Albert M. Boholst M.D. has the Individual type.

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1710116520 NPI number is provided on an as is basis without warranty of any kind. 1710116520 is maintained by the National Plan & Provider Enumeration System. The contents of Albert M. Boholst M.D. are for informational purposes only.