Gerald M Hollingsworth Valid NPI

Individual provider · General Practice Physician · Fort Walton Beach, FL

NPI

1023295821

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

706D (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-01-24

Last updated

2008-01-24