David Holt
Nurse Anesthetist, Certified Registered in Jacksonville, FL. Individual provider (NPI-1).
NPI number1144619081
StatusActive
Last updated in NPPESMar 14, 2017
Details
- NPI
- 1144619081
- Entity type
- Individual (NPI-1)
- Name
- David Holt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2015
- Last updated
- Mar 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9266863 | FL | Yes |
Practice location
2165 Herschel StreetJacksonville, FL 32204
Phone 904-387-4030
Mailing address
10961 Burnt Mill Road # 928Jacksonville, FL 32256
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