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Individual

DOUGLAS A HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1105 E KENNEDY BLVD, SUITE 311, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-2999
Mailing address
1105 E KENNEDY BLVD, SUITE 311, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-2999

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME46949
FL
207R00000X
Internal Medicine Physician
ME46949
FL
207RI0200X
Infectious Disease Physician
Primary
ME46949
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041987700
FL
Enumeration date
06/07/2006
Last updated
03/30/2021
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