BRADLEY W & LISA C HOLDER; NPI #1497609291

Contact Information

BRADLEY W & LISA C HOLDER

3310 DELOR AVE
NORTH PORT, FL 34286-7102

Phone: 719-492-1317
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for BRADLEY W & LISA C HOLDER

NPI #	`1497609291`
LBN Legal business name	BRADLEY W & LISA C HOLDER
Authorized official	LISA HOLDER - (ONWER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/26/2026
Last updated	02/26/2026 - About 3 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRADLEY W & LISA C HOLDER

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Specialty

Professional

NPI Profile & details for BRADLEY W & LISA C HOLDER

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