Charde Holt, PA
Physician Assistant in Lakeland, FL. Individual provider (NPI-1).
NPI number1164075149
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1164075149
- Entity type
- Individual (NPI-1)
- Name
- Charde Holt
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2019
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Other names
- Charde Blocker (Former Name)
Practice location
1600 Lakeland Hills BlvdLakeland, FL 33805-3065
Phone 863-680-7000 · Fax 866-264-8519
Mailing address
433 Las Colinas Blvd E Ste 350Irving, TX 75039-5529
Phone 863-680-7000 · Fax 866-264-8519
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All 96 Physician Assistant providers in Lakeland · All 6,813 providers in Lakeland
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