Provider Demographics
NPI:1568684843
Name:HOLAMER INC
Entity Type:Organization
Organization Name:HOLAMER INC
Other - Org Name:CENTER FOR OPTIMAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ROWLANDS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:954-491-6158
Mailing Address - Street 1:1915 NE 45TH STREET
Mailing Address - Street 2:#103
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5100
Mailing Address - Country:US
Mailing Address - Phone:954-491-6158
Mailing Address - Fax:954-491-6158
Practice Address - Street 1:1915 NE 45TH STREET
Practice Address - Street 2:#103
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5100
Practice Address - Country:US
Practice Address - Phone:954-491-6158
Practice Address - Fax:954-491-6158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM9016174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty