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John Blake Holt, MD
Vascular Surgery Physician in Ormond Beach, Florida
NPI 1932195385

John Blake Holt is a Vascular Surgery Physician based in Ormond Beach, FL and is specialized in Vascular Surgery. John Blake Holt practices in Ormond Beach, FL and has the professional credentials of MD. The NPI Number for John Blake Holt is 1932195385 and holds a License No. ME58979 (Florida).

The current practice location address for John Blake Holt is 588 Sterthaus Dr, Ormond Beach, FL and can be reached out via phone at 386-672-9503 and via fax at 386-672-0386.

Location: 588 Sterthaus Dr, Ormond Beach, FL, 32174-5128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932195385
Provider Name
John Blake Holt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
588 Sterthaus Dr, Ormond Beach, FL, 32174-5128
Phone Number
386-672-9503
Fax Number
386-672-0386
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
012903200-GROUP 05 FL
007WM 01 FL BLUE SHIELD FLORIDA
DV0492-GROUP 01 FL RR MEDICARE
371580900-INDIVIDUAL 05 FL
P01369815-INDIVIDUAL 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
588 Sterthaus Dr
City
Ormond Beach
State
Florida
Zip
32174-5128
Phone Number
386-672-9503
Fax Number
386-672-0386
person
Provider Business Mailing Address Details
Address
588 Sterthaus Dr
City
Ormond Beach
State
Florida
Zip
32174-5128
Phone Number
386-672-9503
Fax Number
386-672-0386
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME58979 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
ME58979 (Florida)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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