Kevin Holthaus MD

NPI 1003893215 - Specialist - 174400000X

NPI Details
NPI 1003893215
Gender Male
Enumeration Date 12/29/2005
Last Updated 11/21/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1361 13TH AVE S
STE 150
JACKSONVILLE BEACH FL, 32250-3233, US
Phone (904) 242-7177
Fax (904) 242-7133
Business Location
PO BOX 17809
JACKSONVILLE FL, 32245-7809, US
Phone (904) 723-0015
Fax (904) 338-0951
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME43785
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According to our database, Kevin Holthaus MD NPI is 1003893215, taxonomy code is 174400000X and license number is ME43785, license state is located at Florida. Kevin Holthaus MD physically located at 1361 13th Ave S, Jacksonville Beach FL, 32250-3233. NPI Number Kevin Holthaus MD has the Individual type.

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1003893215 NPI number is provided on an as is basis without warranty of any kind. 1003893215 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Holthaus MD are for informational purposes only.