Holmes Family Practice Pa

NPI 1407045487 - Clinic/Center - 261Q00000X

NPI Details
NPI 1407045487
Enumeration Date 10/16/2007
Last Updated 10/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID LYNN DAVID
Position PRESIDENT
Phone (863) 676-0014
Fax (863) 676-0090
Practice Location
455 EMERALD AVE
LAKE WALES FL, 33853-4716, US
Phone (863) 676-0014
Fax (863) 676-0090
Business Location
455 EMERALD AVE
LAKE WALES FL, 33853-4716, US
Phone (863) 676-0014
Fax (863) 676-0090
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Holmes Family Practice Pa NPI is 1407045487, taxonomy code is 261Q00000X Holmes Family Practice Pa physically located at 455 Emerald Ave, Lake Wales FL, 33853-4716. NPI Number 1033115704 has the healthcare provider type.

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1407045487 NPI number is provided on an as is basis without warranty of any kind. 1407045487 is maintained by the National Plan & Provider Enumeration System. The contents of Holmes Family Practice Pa are for informational purposes only.