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1003893215
KEVIN HOLTHAUS
JACKSONVILLE BEACH, FL
NPI
1003893215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME43785)
Enumeration Date
2005-12-29
Last Update Date
2007-11-21
Business Address
-- KEVIN HOLTHAUS MD
1361 13TH AVE S STE 150
JACKSONVILLE BEACH, FL 32250-3233
Phone number: 904-242-7177
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Mailing Address
-- KEVIN HOLTHAUS MD
PO BOX 17809
JACKSONVILLE, FL 32245-7809
Phone number: 904-723-0015
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