Individual
MONIQUE NICHOL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
5600 BAYSHORE RD, PALMETTO, FL 34221-9352
(941) 708-7669
(941) 708-8893
Mailing address
PO BOX 499, PARRISH, FL 34219-0499
(941) 708-7669
(941) 708-8893
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02060
UNIVERSAL
FL
01
—
195594
AMERIGROUP
FL
01
—
229615
AMERIGROUP DME
FL
01
—
2453233
UNITED HEALTHCARE
FL
01
—
298508
WELLCARE
FL
05
—
340433100
—
FL
01
—
343481
WELLCARE DME
FL
01
—
65827
BCBS
FL
01
—
P103593
FREEDOM HEALTH
FL
Enumeration date
03/23/2006
Last updated
01/24/2013
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