Organization Active NPI

Holiday Medical Associates P a

  • Internal Medicine Physician
  • Holiday, FL
National Provider Identifier
1053306134
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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 Directory

Locations

4642 Darlington Rd
Holiday, FL 34690
Phone (727) 350-8687

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.