Individual
HOLLY ELIZABETH HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 N OLIVE AVE, WEST PALM BEACH, FL 33401-3515
(561) 655-4334
Mailing address
405 CHEVRON CIR, JUPITER, FL 33458-5744
(561) 371-8255
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104419
FL
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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