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Individual

THOMAS SCOTT HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1099 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-6900
(321) 693-7222
Mailing address
717 CARRIAGE LN, MERRITT ISLAND, FL 32952-4157

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME65133
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379843700
FL
Enumeration date
11/18/2005
Last updated
04/07/2010
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