| Doctor Name: | MR. ROBERT P HOLFELDER |
| NPI Number: | 1477595148 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | MA051607 |
| Business Practice Address: | 7227 N Highway 1 Suite 100 Port St John, FL - 329275020 |
| Business Phone Number: | 3216371595 |
| Business Fax Number: | 3216371596 |
| Mailing Address: | 3466 N Harbor City Blvd, MELBOURNE |
| State: | FL |
| Postal Code: | 329355713 |
| Phone Number: | 3214341982 |
| Fax Number: | 3219517408 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA051607 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |