David Leslie Holtzclaw
Sports Medicine Doctor
1900 27th St
Vero Beach
, Florida 32960-3383
David Leslie Holtzclaw
Sports Medicine Doctor
1900 27th St
Vero Beach
, Florida 32960-3383
(321) 952-0083
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- David Leslie Holtzclaw
- 223 3rd Ave
- Melbourne Beach, FL
- Zip : 32951-2315
- Phone : (321) 952-0083
Second Address
- David Leslie Holtzclaw
- 1900 27th St
- Vero Beach, FL
- Zip : 32960-3383
- Phone : (772) 794-7415
Reviews
FAQs
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What type of doctor is David Leslie Holtzclaw
In what state does David Leslie Holtzclaw practice in?
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Is David Leslie Holtzclaw a sole practitioner?
Is David Leslie Holtzclaw accepting new patients?
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Does David Leslie Holtzclaw offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | ME0059437 | FL |
National Provider Identifier
| NPI | 1538145578 |
|---|---|
| Provider Name | David Leslie Holtzclaw |
| First Address | Melbourne Beach, FL 32951-2315 |
| Second Address | Vero Beach, FL 32960-3383 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A35828 | (02) | FL |
| ME0058437 | MEDICAL LICENSE NUMBER (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.