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

Individual provider Specialist · NPI 1003893215

Kevin Holthaus, MD is an Internal Medicine in Jacksonville Beach, Florida. Graduated from Michigan State University College of Human Medicine in 1982, 44 years ago. Practices with North Florida Medical Clinic Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
44
Trained at
Michigan State University College of Human Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1361 13th Ave S Ste 150
Jacksonville Beach, FL 32250-3233
Phone: (904) 242-7177
Fax: (904) 242-7133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME43785 (FL)

Record details

NPI number1003893215
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESNovember 21, 2007
Mailing addressPo Box 17809, Jacksonville, FL 32245-7809

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1982 (44 years in practice)
Group practice North Florida Medical Clinic Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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