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Individual

MR. ANTHONY JAMES HOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDL

Contact information

Practice address
1124 MAPLEWOOD RD, JASPER, FL 32052
(386) 792-2483
(386) 792-2483
Mailing address
1124 MAPLEWOOD RD, JASPER, FL 32052-6232
(386) 792-2483
(386) 792-2483

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S530010630160
FL
347C00000X
Private Vehicle
S530010630160
FL

Other

Enumeration date
10/11/2016
Last updated
05/14/2018
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