Individual provider · Type 1 NPI

Alysabeth Vititoe Holmes, PA-C

Physician Assistant · Panama City, FL

NPI number 1164206348 Active

Practice location

120 N Richard Jackson Blvd
Panama City, FL 32407-2521

Fax (850) 804-3601

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9118173 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164206348

Alysabeth Vititoe Holmes, PA-C's National Provider Identifier is 1164206348, issued on Aug 21, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Panama City, FL. The record was last updated on Jul 15, 2025.