Holmes Family Practice Pa in Lake Wales - Clinic/center
Holmes Family Practice Pa - NPI 1407045487
Holmes Family Practice Pa is a Clinic/center in Lake Wales, Florida. Holmes Family Practice Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Holmes Family Practice Pa is 1407045487. The last update date is 2007-10-16.
Holmes Family Practice Pa's current location address is 455 Emerald Ave, Lake Wales, Florida. You can contact this provider via phone number 8636760014 and fax number 8636760090. The mailing address for Holmes Family Practice Pa is 455 Emerald Ave, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holmes Family Practice Pa |
|---|---|
| Address | 455 Emerald Ave, Lake Wales, Florida |
| Phone Number | 8636760014 |
| Fax Number | 8636760090 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Holmes Lynn David |
| Credentials | D.O. |
| Telephone Number | 8636760014 |
NPI Number Detail
| NPI Number | 1407045487 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 455 Emerald Ave |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338534716 |
| Phone Number | 8636760014 |
| Fax Number | 8636760090 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the Holmes Family Practice Pa's 1407045487?
The Holmes Family Practice Pa's NPI (National Provider Identifier) Number is 1407045487. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Holmes Family Practice Pa is physically located?
The Holmes Family Practice Pa is situated at the following address: 455 Emerald Ave, Lake Wales, FL 338534716.
What is Holmes Family Practice Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holmes Family Practice Pa's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407045487 to Holmes Family Practice Pa?
The Centers for Medicare & Medicaid Services originally issued the 1407045487 to Holmes Family Practice Pa on 2007-10-16.
As of what date was the information regarding Holmes Family Practice Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Holmes Family Practice Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-16.
NPI Number: 1407858566
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