Charde Holt, PA

Physician Assistant · Lakeland, FL

Individual Active NPI

NPI number 1164075149

Practice location

1033 N Parkway Frontage Rd
Lakeland, FL 33803-0401
Phone
(863) 647-8011
Fax
(866) 264-8519

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NPI record

NPI
1164075149
Entity type
Individual (Type 1)
Enumeration date
July 19, 2019
Last updated
April 2, 2026
Certified
April 2, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone
(863) 680-7000
Fax
(866) 264-8519

Other practice locations (2)

  • 2300 E County Road 540A, Lakeland, FL 33813-3825 · (863) 607-3333
  • 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 · (863) 680-7000

About Charde Holt

Charde Holt, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401. The NPI number 1164075149 was assigned on July 19, 2019 and the record was last updated on April 2, 2026.

Frequently asked questions

What is the NPI number of Charde Holt, PA?

The NPI number is 1164075149.

What is the phone number of Charde Holt?

The phone number listed for the practice location is (863) 647-8011.

Where is Charde Holt located?

1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401.

What is the taxonomy code for Charde Holt?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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