| Holmes Family Practice Pa | |
|
455 Emerald Ave Lake Wales FL 33853-4716 | |
| (863) 676-0014 | |
| (863) 676-0090 |
| Full Name | Holmes Family Practice Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 455 Emerald Ave, Lake Wales, Florida |
| Authorized Official Name and Position | David Lynn Holmes (PRESIDENT) |
| Authorized Official Contact | 8636760014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holmes Family Practice Pa 455 Emerald Ave Lake Wales FL 33853-4716 Ph: (863) 676-0014 | Holmes Family Practice Pa 455 Emerald Ave Lake Wales FL 33853-4716 Ph: (863) 676-0014 |
| NPI Number | 1407045487 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Medicare PECOS PAC ID | 3274568522 |
|---|---|
| Medicare Enrollment ID | O20051005000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407045487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David L Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568469302 PECOS PAC ID: 5991730244 Enrollment ID: I20051006000282 |
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P. Rene Navarro, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Druid Cir, Lake Wales, FL 33853 Phone: 863-676-0702 Fax: 863-676-2305 | |
Physicians Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8815 Fax: 863-679-8335 | |
Central Florida Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 866-234-8534 | |
Lakeland Regional Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Emerald Ave, Lake Wales, FL 33853 Phone: 863-676-0014 Fax: 863-284-6825 | |
Central Florida Health Care, Inc. - Lake Wales Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 863-678-4360 Fax: 863-678-4399 | |
American Care Of North Florida, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Carlton Ave Ste 1500, Lake Wales, FL 33853 Phone: 863-270-4546 Fax: 863-638-6337 |