OrganizationActive
Consolidated Domain Solutions LLC
NPI 1679888945 · Pulmonary Disease Physician · Stuart, FL
Provider details
- NPI number
- 1679888945
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Holling, Owner(772) 215-4562
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
509 Se Riverside Dr
Suite 200
Stuart, FL 34994-2579
Phone: (772) 283-5864
Fax: (772) 283-3830
Street-level locationGet directions
Mailing address
509 Se Riverside Dr
Stuart, FL 34994-2579
Registry dates
- Enumerated
- 2010-08-11
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.