| Doctor Name: | MR. GUNTER WITTHOLT |
| NPI Number: | 1922236975 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A., |
| License Number: | PA2936 |
| Business Practice Address: | 1945 W County Road 419 Suite 1101 Chuluota, FL - 327669555 |
| Business Phone Number: | 4072781790 |
| Business Fax Number: | |
| Mailing Address: | 1945 W County Road 419, Suite 1101 CHULUOTA |
| State: | FL |
| Postal Code: | 327669555 |
| Phone Number: | 4072781790 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2009 |
| NPI Last Update Date: | 08/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA2936 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |