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NPI Code Detail

MEDICARE: ROBERT D HOLMSTROM MD

MEDICARE: ROBERT D HOLMSTROM 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
1207W00000XOphthalmology PhysicianME11174FL

General Provider Information

NPI Number : 1295969566
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT D HOLMSTROM MD
Provider Business Mailing Address
First Line : 4675 28TH CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32967-1329
Country : US
Telephone Number : 772-770-5151
Fax Number : 772-770-5166
Provider Business Practice Location Address
First Line : 4675 28TH CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32967-1329
Country : US
Telephone Number : 772-770-5151
Fax Number : 772-770-5166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2009
Last Update Date : 05/14/2009

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Directions to “ ROBERT D HOLMSTROM MD” Practice Location

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