Healthcare Provider Details

I. General information

NPI: 1235033242
Provider Name (Legal Business Name): HOLMES REGIONAL MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 BABCOCK ST NE STE 109
PALM BAY FL
32905-4639
US

IV. Provider business mailing address

PO BOX 749204
ATLANTA GA
30374-9204
US

V. Phone/Fax

Practice location:
  • Phone: 321-722-5950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTEN PULIO
Title or Position: EVP CFO
Credential:
Phone: 321-434-5606