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Individual

DR. BRIAN WILLIAM HOLYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
316 MANATEE AVE W, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-1958
Mailing address
316 MANATEE AVENUE WEST, ATTN: IPM CREDENTIALING, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-1958

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT014242
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS14455
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021231200
FL
Enumeration date
06/08/2011
Last updated
03/17/2018
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