David Leslie Holtzclaw in Vero Beach - Neuromusculoskeletal Medicine, Sports Medicine

David Leslie Holtzclaw - NPI 1538145578

David Leslie Holtzclaw is a Neuromusculoskeletal Medicine, Sports Medicine in Vero Beach, Florida. David Leslie Holtzclaw practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for David Leslie Holtzclaw is 1538145578. The last update date is 2007-07-09.

David Leslie Holtzclaw's current location address is 1900 27th St, Vero Beach, Florida. You can contact this provider via phone number 7727947415. The mailing address for David Leslie Holtzclaw is 1900 27th St, Vero Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name David Leslie Holtzclaw
Address 1900 27th St, Vero Beach, Florida
Phone Number 7727947415
Fax Number
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1538145578
Provider Enumeration Date 2005-12-21
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1900 27th St
City Vero Beach
State Florida (FL)
Post Code 329603383
Phone Number 7727947415
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine, Sports Medicine
Taxonomy 204C00000X
Licence No ME0059437
Definition:
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME0058437 FL MEDICAL LICENSE NUMBER

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FAQs about David Leslie Holtzclaw

What is the unique identifier code issued to David Leslie Holtzclaw by the Centers for Medicare & Medicaid Services?

The David Leslie Holtzclaw has been assigned the NPI (National Provider Identifier) 1538145578. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David Leslie Holtzclaw is geographically located?

The David Leslie Holtzclaw is physically situated at the following location: 1900 27Th St, Vero Beach, FL, 329603383.

What is David Leslie Holtzclaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for David Leslie Holtzclaw is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 204C00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1538145578 to David Leslie Holtzclaw?

The David Leslie Holtzclaw received its 1538145578 assignment from the Centers for Medicare & Medicaid Services on 2005-12-21.

As of what date was the information regarding David Leslie Holtzclaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David Leslie Holtzclaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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