Individual
MARY ELIZABETH HOLTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
595 N COURTENAY PKWY STE 206, MERRITT ISLAND, FL 32953-4851
(321) 735-6220
(321) 507-4638
Mailing address
4730 N HABANA AVE STE 204, TAMPA, FL 33614-7148
(813) 549-2134
(813) 864-4436
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 3644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3644
STATE LICENSE NUMBER
FL
Enumeration date
01/23/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us