| Doctor Name: | MR. WAYNE HOLMAN |
| NPI Number: | 1407238603 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 215191 |
| Business Practice Address: | 500 South Pointe Drive Suite 220 C/o Ridgeback Capital Management Miami Beach, FL - 33139 |
| Business Phone Number: | 3056025170 |
| Business Fax Number: | |
| Mailing Address: | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management MIAMI BEACH |
| State: | FL |
| Postal Code: | 33139 |
| Phone Number: | 3056025170 |
| Fax Number: | 6463494777 |
| NPI Enumeration Date: | 06/24/2015 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 215191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |