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
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
Provider Enumeration Date 2005-09-21
Last Updated Date 2016-04-19

Provider Mailing Address Detail

Address 588 Sterthaus Dr
City Ormond Beach
State Florida (FL)
Post Code 321745128
Phone Number 3866729503
Fax Number 3866720386

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
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

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FAQs about John Blake Holt

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.

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