Holman-Hicks, Derek M

Holman-Hicks, Derek M is an individual health care provider with primary practice located at 748 Harrison Ave , Panama City FL 32401-2524. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Holman-Hicks, Derek M can be contacted via phone (850) 763-4988.

Contact Information

Primary practice address
748 Harrison Ave Panama City FL 32401-2524
Phone: (850) 763-4988
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9108903 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108903 Florida

Profile Details

NPI number 1437527322
LBN Legal business name Holman-Hicks, Derek M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Mar 21st, 2025 - about last year

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 1437527322 NPPES
Florida MEDICAID 015685800

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