=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811603657
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ON POINT INJURY CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2023
-----------------------------------------------------
Last Update Date | 01/25/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7147 CURTISS AVE
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-312-4751
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7147 CURTISS AVE
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-312-4751
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER MEDICAL DIRECTOR
-----------------------------------------------------
Name | MR. HAROLD LAWLER III
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 941-312-4751
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------