Mary Elizabeth Holtham in Tampa - Medical
Mary Elizabeth Holtham - NPI 1568432748
Mary Elizabeth Holtham is a Medical in Tampa, Florida. Mary Elizabeth Holtham practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Elizabeth Holtham is 1568432748. The last update date is 2022-07-21.
Mary Elizabeth Holtham's current location address is 4730 N Habana Ave Ste 204, Tampa, Florida. You can contact this provider via phone number 8135492134 and fax number 8138644436. The mailing address for Mary Elizabeth Holtham is 4730 N Habana Ave Ste 204, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elizabeth Holtham |
|---|---|
| Address | 4730 N Habana Ave Ste 204, Tampa, Florida |
| Phone Number | 8135492134 |
| Fax Number | 8138644436 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568432748 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4730 N Habana Ave Ste 204 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336147148 |
| Phone Number | 8135492134 |
| Fax Number | 8138644436 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA 3644 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA3644 | FL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Elizabeth Holtham by the Centers for Medicare & Medicaid Services?
The Mary Elizabeth Holtham has been issued the NPI (National Provider Identifier) 1568432748, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Elizabeth Holtham?
The Mary Elizabeth Holtham is physically situated at 4730 N Habana Ave Ste 204, in the city of Tampa, state of FL, with the postal code 336147148.
What is the Mary Elizabeth Holtham's area of specialization and corresponding taxonomy classification?
The Mary Elizabeth Holtham's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1568432748 assigned to Mary Elizabeth Holtham?
The Mary Elizabeth Holtham was issued its 1568432748 on 2006-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary Elizabeth Holtham most recently updated?
The details pertaining to the Mary Elizabeth Holtham, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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