Individual
DEREK MACKENZIE HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-0111
Mailing address
4013 SW 27TH ST APT 20, GAINESVILLE, FL 32608-7301
(619) 571-1602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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