Holifield, Michael K

Holifield, Michael K is an sole proprietor health care provider with primary practice located at 9711 W Broward Blvd , Plantation FL 33324-2309. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Holifield, Michael K can be contacted via phone (954) 474-1374.

Contact Information

Primary practice address
9711 W Broward Blvd Plantation FL 33324-2309
Fax: (954) 474-1375
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3238 Florida

Profile Details

NPI number 1679731681
LBN Legal business name Holifield, Michael K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2008
Last updated May 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679731681 NPPES
Florida MEDICAID 620824000

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