Provider Demographics
NPI:1437241767
Name:HOLMES, FINLEY CLARKE (MD)
Entity Type:Individual
Prefix:
First Name:FINLEY
Middle Name:CLARKE
Last Name:HOLMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FINLEY
Other - Middle Name:C
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MDPA 59-3333409
Mailing Address - Street 1:PO BOX 668
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32591-0668
Mailing Address - Country:US
Mailing Address - Phone:850-932-5108
Mailing Address - Fax:950-932-5528
Practice Address - Street 1:1717 W AVERY ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1811
Practice Address - Country:US
Practice Address - Phone:850-324-2276
Practice Address - Fax:850-932-5528
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME17078207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL049953600Medicaid
FL011072629OtherRAILROAD MEDICARE
FL049953600Medicaid