Holtham, Mary Elizabeth

Holtham, Mary Elizabeth is an individual health care provider with primary practice located at 595 N Courtenay Pkwy Ste 206 , Merritt Island FL 32953-4851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Holtham, Mary Elizabeth can be contacted via phone (321) 735-6220.

Contact Information

Primary practice address
595 N Courtenay Pkwy Ste 206 Merritt Island FL 32953-4851
Phone: (321) 735-6220
Fax: (321) 507-4638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 3644 Florida

Profile Details

NPI number 1568432748
LBN Legal business name Holtham, Mary Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 21st, 2022 - about 4 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 1568432748 NPPES
Florida Other PA3644 STATE LICENSE NUMBER

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