Active NPI
Holiday Medical Associates P a
- Internal Medicine Physician
- Holiday, FL
National Provider Identifier
1053306134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HOLIDAY MEDICAL ASSOCIATES P A
- Practice address
- 4642 Darlington Rd
Holiday, FL 34690-3906 - Phone
- (727) 938-2474
- Fax
- (727) 934-1579
- NPI assigned
- Sep 15, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Jeffrey M Davis, MD
- Title
- President
- Phone
- (727) 938-2474
National Provider Directory
National Provider DirectoryLocations
4642 Darlington Rd
Holiday, FL 34690
Phone (727) 350-8687
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4642 Darlington Rd
Holiday, FL 34690-3906
Mailing address
4642 Darlington Rd
Holiday, FL 34690-3906
Phone (727) 938-2474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2010.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1053306134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4642 DARLINGTON RD",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346903906",
"telephone_number": "727-938-2474",
"fax_number": "727-934-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4642 DARLINGTON RD",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346903906",
"telephone_number": "727-938-2474",
"fax_number": "727-934-1579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLIDAY MEDICAL ASSOCIATES P A",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-15",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-938-2474",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holiday, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.