Individual
SUZANNE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0751
(352) 265-0556
Mailing address
29022 NW 32ND AVE, NEWBERRY, FL 32669-2620
(352) 494-6924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 2732912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013676000
—
FL
Enumeration date
09/29/2014
Last updated
01/01/2015
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