John Blake Holt in Ormond Beach - Vascular Surgery
John Blake Holt - NPI 1932195385
John Blake Holt is a Vascular Surgery in Ormond Beach, Florida. John Blake Holt practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for John Blake Holt is 1932195385. The last update date is 2016-04-19.
John Blake Holt's current location address is 588 Sterthaus Dr, Ormond Beach, Florida. You can contact this provider via phone number 3866729503 and fax number 3866720386. The mailing address for John Blake Holt is 588 Sterthaus Dr, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Blake Holt |
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Address | 588 Sterthaus Dr, Ormond Beach, Florida |
Phone Number | 3866729503 |
Fax Number | 3866720386 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1932195385 |
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Provider Enumeration Date | 2005-09-21 |
Last Updated Date | 2016-04-19 |
Provider Mailing Address Detail
Address | 588 Sterthaus Dr |
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City | Ormond Beach |
State | Florida (FL) |
Post Code | 321745128 |
Phone Number | 3866729503 |
Fax Number | 3866720386 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | ME58979 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
012903200-GROUP | FL | -- | |
007WM | FL | BLUE SHIELD FLORIDA | |
DV0492-GROUP | FL | RR MEDICARE | |
371580900-INDIV | FL | -- | |
P01369815-INDIV | FL | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Blake Holt by the Centers for Medicare & Medicaid Services?
The John Blake Holt has been issued the NPI (National Provider Identifier) 1932195385 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of John Blake Holt?
The John Blake Holt is situated at 588 Sterthaus Dr, in the city of Ormond Beach, state of FL, with the zip code 321745128.
What is John Blake Holt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Blake Holt's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did John Blake Holt receive its 1932195385 assignment from the Centers for Medicare & Medicaid Services?
The John Blake Holt was assigned its 1932195385 on 2005-09-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to John Blake Holt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Blake Holt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-04-19.