Individual
DR. SIDNEY WAYNE HOLEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
436 NOKOMIS AVE S, VENICE, FL 34285-2617
(941) 488-7742
(941) 484-7756
Mailing address
436 NOKOMIS AVE S, VENICE, FL 34285-2617
(941) 488-7742
(941) 484-7756
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
EO982
TX
208600000X
Surgery Physician
Primary
ME0022788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020012689
RAILROAD MEDICARE
FL
01
—
04889
UNIVERSAL
FL
01
—
303424
UNITED HEALTH CARE GROUP MPIN
FL
01
—
59-1362995
GROUP TAX ID #
FL
01
—
7007140
CIGNA
FL
01
—
92415
BCBS
FL
Enumeration date
11/20/2006
Last updated
10/21/2008
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