Organization
HOLLY WARD, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY A WARD M.D. (OWNER)
(850) 651-3376
Entity
Organization
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
—
1487619078
INDIVIDUAL NPI
FL
Enumeration date
10/15/2014
Last updated
10/15/2014
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