Healthcare Provider Details

I. General information

NPI: 1194875344
Provider Name (Legal Business Name): ERIC F HOLT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 W SAMPLE RD STE 4
POMPANO BEACH FL
33073-3035
US

IV. Provider business mailing address

2400 W SAMPLE RD STE 4
POMPANO BEACH FL
33073-3035
US

V. Phone/Fax

Practice location:
  • Phone: 954-580-1036
  • Fax: 954-580-1119
Mailing address:
  • Phone: 561-806-8306
  • Fax: 954-580-1036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberOS10094
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: