DAVID LESLIE HOLTZCLAW (NPI# 1538145578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538145578 |
| Entity Type | Individual |
| Full Name | DAVID LESLIE HOLTZCLAW |
| Credential | M.D. |
| Practice Address |
1900 27th St Vero Beach FL 32960-3383 |
| Mailing Address |
223 3rd Ave Melbourne Beach FL 32951-2315 |
| Practice Telephone | 7727947415 |
| Mailing Telephone | 3219520083 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | ME0059437 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE NUMBER | ME0058437 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174560940 | David Ray Holtzclaw | Anesthesiology | 3640 Ralston Ave, Hillsborough, CA 94010-6734 | 2006-06-01 |
| Street Address |
1900 27TH ST |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624116 | John Benjamin Spiers IIi | Nurse Practitioner | 1900 27th St, Vero Beach, FL 32960-3383 | 2005-08-01 |
| 1306485396 | Valli Jo Flynn | Nurse Practitioner | 1900 27th St, Vero Beach, FL 32960-3383 | 2019-12-23 |
| 1245648856 | Jessica D Jenkins | Nurse Practitioner | 1900 27th St, Vero Beach, FL 32960-3383 | 2014-07-28 |
| 1972847077 | Sudeep A Rao | Dentist | 1900 27th St, Vero Beach, FL 32960-3383 | 2012-11-15 |
| 1033475892 | Jessica Louise Bass | Nurse Practitioner | 1900 27th St, Vero Beach, FL 32960-3383 | 2012-04-05 |
| 1699075150 | William Miller Cutler | Ophthalmology | 1900 27th St, Vero Beach, FL 32960-3383 | 2010-10-29 |
| 1952623837 | Linda Drake Macdonald | Obstetrics & Gynecology | 1900 27th St, Vero Beach, FL 32960-3383 | 2010-02-19 |
| 1902135569 | John B Liebler | General Practice | 1900 27th St, Vero Beach, FL 32960-3383 | 2009-12-10 |
| 1073788436 | Robert Dean Schmidt | Obstetrics & Gynecology | 1900 27th St, Vero Beach, FL 32960-3383 | 2008-04-28 |
| 1164625935 | Witni Balthazar | General Practice | 1900 27th St, Vero Beach, FL 32960-3383 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810540 | Charles L Carr Jr Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 4335 Cheval Blvd, Lutz, FL 33558-5328 | 2020-01-09 |
| 1871057836 | Nextstep Orlando | Neuromusculoskeletal Medicine, Sports Medicine | 330 Harbour Isle Way Unit 1090, Longwood, FL 32750-3979 | 2019-01-24 |
| 1124512371 | Jennifer Lynn Wiersma | Neuromusculoskeletal Medicine, Sports Medicine | 346 Se 5th Ave, Delray Beach, FL 33483-5209 | 2018-06-20 |
| 1548602840 | Shaun Notman | Neuromusculoskeletal Medicine, Sports Medicine | 1700 South Tamiami Trl, Sarasota, FL 34277 | 2013-07-27 |
| 1487920237 | North Florida Treatment Centers, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 601 N Bumby Ave Ste C, Orlando, FL 32803-4904 | 2012-03-27 |
| 1093049579 | Hem M Bhatt | Neuromusculoskeletal Medicine, Sports Medicine | 2298 Sw Golden Bear Way, Palm City, FL 34990-8803 | 2009-09-30 |
| 1750555777 | Robert B Dehgan Md Pa | Neuromusculoskeletal Medicine, Sports Medicine | 460 Osceola Ave, Jacksonville, FL 32250-4078 | 2008-04-22 |
| 1730383993 | Alfred B Chapman | Neuromusculoskeletal Medicine, Sports Medicine | 1221 Rogers St, Suite B, Clearwater, FL 33756-5900 | 2007-06-12 |
| 1780887760 | Tamarac Physicians Group Inc | Neuromusculoskeletal Medicine, Sports Medicine | 8287 Nw 88th Ave, Tamarac, FL 33321-1541 | 2007-06-07 |
| 1366563066 | Stephen R Wood Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 13211 Walsingham Rd, Largo, FL 33774-3518 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.