Holmes Family Practice PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HOLMES FAMILY PRACTICE PA

Practice address

455 Emerald Ave
Lake Wales, FL 33853-4716

Phone

(863) 676-0014

Fax

(863) 676-0090

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Lynn Holmes, D.O.NPI 1568469302

Title

President

Phone

(863) 676-0014

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Holmes, D.O.

  • Adult Medicine Physician
  • Lake Wales, FL
  • NPI 1568469302
  Authorized official Same address or phone
• Michael Ray Karr, PA-C

  • Physician Assistant
  • Avon Park, FL
  • NPI 1114065166
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1407045487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 EMERALD AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534716",
            "telephone_number": "863-676-0014",
            "fax_number": "863-676-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EMERALD AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534716",
            "telephone_number": "863-676-0014",
            "fax_number": "863-676-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-676-0014",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Hinton, NURSE PRACTITIONER
• Tamiko Latiese Hodge, OWNER
• Justin John Hoffman, LCSW
• Holiday CVS LLC (CVS Pharmacy 00411)
• Shanteria Holloway
• David L Holmes, D.O.
• Home Health Care Group of Florida, Inc
• Erika Homidas, PTA
• Caroline C Honculada, M D
• Gwen Horne

• Clinic/Center in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.