Healthcare Provider Details

I. General information

NPI: 1720322316
Provider Name (Legal Business Name): HOLTON L BROWNING LHAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5843 SW 75TH ST STE. 108
GAINESVILLE FL
32608-8513
US

IV. Provider business mailing address

5843 SW 75TH ST STE. 108
GAINESVILLE FL
32608-8513
US

V. Phone/Fax

Practice location:
  • Phone: 352-335-4327
  • Fax: 352-335-4331
Mailing address:
  • Phone: 352-335-4327
  • Fax: 352-335-4331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4869
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: