Doctor Name: | MR. DANIEL H OBER |
NPI Number: | 1013902261 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA9102303 |
Business Practice Address: | 315 75th St W Bradenton, FL - 342093201 |
Business Phone Number: | 9417611616 |
Business Fax Number: | 9417613807 |
Mailing Address: | 315 75th St W, BRADENTON |
State: | FL |
Postal Code: | 342093201 |
Phone Number: | 9417611998 |
Fax Number: | 9417613807 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 02/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9102303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |