Individual
ETHEL HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1130 S SEMORAN BLVD STE B-C, ORLANDO, FL 32807-1457
(407) 382-1376
(833) 450-5418
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(407) 382-1376
(833) 450-5418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009214
NY
363A00000X
Physician Assistant
Primary
PA9109641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023157500
—
FL
Enumeration date
02/16/2007
Last updated
03/18/2026
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