Derick Holcomb
Technician, Attendant Care Provider in Tampa, FL. Individual provider (NPI-1).
NPI number1982255840
StatusActive
Last updated in NPPESSep 23, 2019
Details
- NPI
- 1982255840
- Entity type
- Individual (NPI-1)
- Name
- Derick Holcomb
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2019
- Last updated
- Sep 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
18115 Palm Beach DrTampa, FL 33647-4048
Phone 305-793-0769
Mailing address
10232 Grant Creek DrTampa, FL 33647-2932
Phone 305-793-0769
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