Individual
DR. CLINTON DOUGLAS HOLDER
Active
Individual
DR. CLINTON DOUGLAS HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
40558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042203700
—
FL
01
—
30588
BLUE CROSS/BLUE SHIELD
FL
01
—
440003237
RAILROAD MEDICARE
FL
01
—
5600211
GHI
FL
01
—
9205221
UNITEDHEALTHCARE
FL
01
—
923014
BLUE CROSS/BLUE SHIELD
PA
01
—
ME0040558
WORKERS' COMPENSATION
FL
Enumeration date
07/01/2005
Last updated
03/07/2023
Update your record
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