MATTHEW HOLTHAUS

LAKELAND, FL
NPI1225582778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9109699)
Enumeration Date2016-08-12
Last Update Date2016-08-12
Business Address
-- MATTHEW HOLTHAUS PA-C
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
Mailing Address
-- MATTHEW HOLTHAUS PA-C
5431 N RANGE WAY
BEVERLY HILLS, FL 34465-2150
Phone number: 310-748-4951