Individual
DERICK HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18115 PALM BEACH DR, TAMPA, FL 33647-4048
(305) 793-0769
Mailing address
10232 GRANT CREEK DR, TAMPA, FL 33647-2932
(305) 793-0769
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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