Doctor Name: | MS. CHRISTINA MARIE HOLMAN |
NPI Number: | 1083972236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHLEBOTOMIST |
License Number: | 010562-CPT12 |
Business Practice Address: | 14431 Se 61st Ave Summerfield, FL - 344917726 |
Business Phone Number: | 3524707034 |
Business Fax Number: | 3523475570 |
Mailing Address: | 14431 Se 61st Ave, SUMMERFIELD |
State: | FL |
Postal Code: | 344917726 |
Phone Number: | 3524707034 |
Fax Number: | 3523475570 |
NPI Enumeration Date: | 04/25/2012 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | 010562-CPT12 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |