Provider Demographics
NPI:1144222696
Name:HOLMES, ELAINE G (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:G
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6520 FORT CAROLINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-2044
Mailing Address - Country:US
Mailing Address - Phone:904-744-7300
Mailing Address - Fax:904-722-4271
Practice Address - Street 1:6484 FORT CAROLINE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-2042
Practice Address - Country:US
Practice Address - Phone:904-744-7300
Practice Address - Fax:904-722-4271
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2016-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME120454207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine