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Organization

HOLMES FAMILY PRACTICE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID LYNN HOLMES D.O. (PRESIDENT)
(863) 676-0014
Entity
Organization

Contact information

Practice address
455 EMERALD AVE, LAKE WALES, FL 33853-4716
(863) 676-0014
(863) 676-0090
Mailing address
455 EMERALD AVE, LAKE WALES, FL 33853-4716
(863) 676-0014
(863) 676-0090

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/16/2007
Last updated
10/16/2007
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