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NPI Code Detail

MEDICARE: DR. DEBORAH LYNN HOLMES MD

MEDICARE:  DR. DEBORAH LYNN HOLMES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME0063833FL

Other Identifiers

General Provider Information

NPI Number : 1790871481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH LYNN HOLMES MD
Provider Business Mailing Address
First Line : 8390 CHAMPIONS GATE BLVD
Second Line : SUITE 215
City : CHAMPIONS GATE
State : FL
Zip : 33896-8310
Country : US
Telephone Number : 407-390-1677
Fax Number : 407-390-1765
Provider Business Practice Location Address
First Line : 100 NW 170TH STREET
Second Line : SUITE 208
City : NORTH MIAMI BEACH
State : FL
Zip : 33169-5510
Country : US
Telephone Number : 305-405-0045
Fax Number : 305-405-0048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/22/2016

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Directions to “ DR. DEBORAH LYNN HOLMES MD” Practice Location

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