person
Mary Elizabeth Holtham, PA-C
Medical Physician Assistant in Merritt Island, Florida
NPI 1568432748

Mary Elizabeth Holtham is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Mary Elizabeth Holtham practices in Merritt Island, FL and has the professional credentials of PA-C. The NPI Number for Mary Elizabeth Holtham is 1568432748 and holds a License No. PA 3644 (Florida).

The current practice location address for Mary Elizabeth Holtham is 595 N Courtenay Pkwy Ste 206, Merritt Island, FL and can be reached out via phone at 321-735-6220 and via fax at 321-507-4638.

Location: 595 N Courtenay Pkwy Ste 206, Merritt Island, FL, 33614-7148
person
Provider Profile Details
NPI Number
1568432748
Provider Name
Mary Elizabeth Holtham
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
595 N Courtenay Pkwy Ste 206, Merritt Island, FL, 33614-7148
Phone Number
321-735-6220
Fax Number
321-507-4638
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA3644 01 FL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
595 N Courtenay Pkwy Ste 206
City
State
Zip
32953-4851
Phone Number
321-735-6220
Fax Number
321-507-4638
person
Provider Business Mailing Address Details
Address
595 N Courtenay Pkwy Ste 206
City
State
Zip
32953-4851
Phone Number
321-735-6220
Fax Number
321-507-4638
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 3644 (Florida)
Definition
Definition to come...
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