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DAVID LESLIE HOLTZCLAW M.D. NPI 1538145578


NPI Information

NPI: 1538145578
Provider Name: DAVID LESLIE HOLTZCLAW, M.D.
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual
Address:
1900 27TH ST
VERO BEACH, FL
ZIP 32960
Phone: (772) 794-7415
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David Leslie Holtzclaw, M.D. is a neuromusculoskeletal medicine sports medicine in Vero Beach, FL. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ David Leslie Holtzclaw, M.D. NPI is 1538145578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 27TH ST
VERO BEACH, FL
ZIP 32960-383
Phone: (772) 794-7415

The enumeration date for this NPI number is 12/21/2005 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineME0059437FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A35828MEDICARE UPINFLORIDA
2ME0058437OTHERFLORIDAMEDICAL LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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