| Bradley W & Lisa C Holder | |
|
3310 Delor Ave North Port FL 34286-7102 | |
| (719) 492-1317 | |
| Not Available |
| Full Name | Bradley W & Lisa C Holder |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3310 Delor Ave, North Port, Florida |
| Authorized Official Name and Position | Lisa C Holder (ONWER) |
| Authorized Official Contact | 7194921317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley W & Lisa C Holder 3310 Delor Ave North Port FL 34286-7102 Ph: () - | Bradley W & Lisa C Holder 3310 Delor Ave North Port FL 34286-7102 Ph: (719) 492-1317 |
| NPI Number | 1497609291 |
|---|---|
| Provider Enumeration Date | 02/26/2026 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497609291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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