Individual
MRS. HOLLY A WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 10TH AVE, SHALIMAR, FL 32579-1304
(850) 651-3376
(850) 651-3372
Mailing address
11 10TH AVE, SHALIMAR, FL 32579-1304
(850) 651-3376
(850) 651-3372
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME82532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51158
BLUE CROSS
FL
01
—
7627290
AETNA
FL
Enumeration date
04/18/2006
Last updated
01/22/2021
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