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1225582778
MATTHEW HOLTHAUS
LAKELAND, FL
NPI
1225582778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9109699)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
-- MATTHEW HOLTHAUS PA-C
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
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Mailing Address
-- MATTHEW HOLTHAUS PA-C
5431 N RANGE WAY
BEVERLY HILLS, FL 34465-2150
Phone number: 310-748-4951
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