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Organization
HOLMES REGIONAL MEDICAL CENTER, INC.
Active
Organization
HOLMES REGIONAL MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PULIO (EVP CFO)
(301) 315-3569
Entity
Organization
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
PO BOX 749206, ATLANTA, GA 30374-9206
(321) 434-5055
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010008100
—
FL
01
—
301
BLUE CROSS
FL
05
—
420020900
—
FL
Enumeration date
03/03/2006
Last updated
06/04/2025
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