HOLMES FAMILY PRACTICE PA
NPI 1407045487
Clinic/Center in Lake Wales, FL

Q: What is Holmes Family Practice PA's NPI number?

The NPI number for Holmes Family Practice PA is 1407045487. It was assigned to this organization in the NPPES registry on October 16, 2007.

Q: What is Holmes Family Practice PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 16, 2007

455 EMERALD AVE, LAKE WALES, FL 33853(863) 676-0014(863) 676-0090 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Holmes Family Practice Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLMES FAMILY PRACTICE PA (NPI 1407045487) is a healthcare organization registered as a clinic/center in Lake Wales, Florida and active in the NPI registry since October 2007. The organization lists David Lynn Holmes, President, as its authorized official.

NPPES Registry Identity

NPI1407045487

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameHOLMES FAMILY PRACTICE PA

Location Address455 EMERALD AVELake Wales, FL 33853-4716

Mailing Address455 Emerald AveLake Wales, FL 33853-4716 · (863) 676-0014 · Fax (863) 676-0090

Phone(863) 676-0014

Fax(863) 676-0090

Organization SubpartNo

Authorized OfficialDavid Lynn HolmesPresident · (863) 676-0014

Enumeration DateOctober 16, 2007

✔ NPI 1407045487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

455 EMERALD AVE, Lake Wales, FL 33853

Open in Google Maps ↗

Other Identifiers 2

Medicare PINK8529FL

Medicare UPINE34977FL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID L HOLMES D.O.

Family Medicine (Adult Medicine)

455 EMERALD AVE
LAKE WALES, FL 33853

Polk County (863) 676-0014

AMANDA ANNE WATERS APRN

Nurse Practitioner (Family)

455 EMERALD AVE
LAKE WALES, FL 33853

Polk County (863) 687-1472

MR. LEONARD E HAWKINS PA-C

Physician Assistant (Medical)

455 EMERALD AVE
LAKE WALES, FL 33853

Polk County (863) 676-0014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holmes Family Practice PA's NPI number?

The NPI number for Holmes Family Practice PA is 1407045487. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Holmes Family Practice PA located?

Holmes Family Practice PA is located at 455 Emerald Ave, Lake Wales, FL 33853. The listed phone number is (863) 676-0014.

What is Holmes Family Practice PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Holmes Family Practice PA was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.