Individual
CODY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 ZEMKE AVE BLDG 1078, TAMPA, FL 33621-5023
(813) 827-9030
Mailing address
302 N HOLLY RD, OLNEY, IL 62450-3336
(618) 919-1495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33263
NE
Other
Enumeration date
04/10/2019
Last updated
08/21/2023
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