| Thomas Scott Holt, | |
|
1099 Florida Ave S, Rockledge, FL 32955-2138 | |
| (321) 632-6900 | |
| (321) 693-7222 |
| Full Name | Thomas Scott Holt |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1099 Florida Ave S, Rockledge, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437131026 | NPI | - | NPPES |
| 379843700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | ME65133 (Florida) | Primary |
| Entity Name | Brevard Ear Nose & Throat Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669454278 PECOS PAC ID: 6204904634 Enrollment ID: O20081022000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Scott Holt, 717 Carriage Ln, Merritt Island, FL 32952-4157 Ph: () - | Thomas Scott Holt, 1099 Florida Ave S, Rockledge, FL 32955-2138 Ph: (321) 632-6900 |
Rachel M Brock, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1099 Florida Ave S, Rockledge, FL 32955 Phone: 321-632-6900 Fax: 321-639-7222 | |
Ronald Burk, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1099 Florida Ave S, Rockledge, FL 32955 Phone: 321-632-6900 Fax: 321-639-7222 | |
Hance Phillips, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1099 Florida Ave S, Rockledge, FL 32955 Phone: 321-632-6900 Fax: 321-639-7222 | |
David Whitley, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1099 Florida Ave S, Rockledge, FL 32955 Phone: 321-632-6900 Fax: 321-639-7222 |