Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charde Holt, PA

Individual provider Physician Assistant · NPI 1164075149

Charde Holt, PA is a Physician Assistant in Lakeland, Florida. Qualified in 2019, 7 years ago. Practices with Florida Pain Relief Group PLLC, a 79-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1033 N Parkway Frontage Rd
Lakeland, FL 33803-0401
Phone: (863) 647-8011
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164075149
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 19, 2019
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Pain Relief Group Pllc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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