Individual
DAVID LESLIE HOLTZCLAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 27TH ST, VERO BEACH, FL 32960-3383
(772) 794-7415
Mailing address
223 3RD AVE, MELBOURNE BEACH, FL 32951-2315
(321) 952-0083
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
ME0059437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0058437
MEDICAL LICENSE NUMBER
FL
Enumeration date
12/21/2005
Last updated
07/09/2007
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