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Organization
OLIPHANT HOLISTIC HEALTH AND WELLNESS LLC
Active
Organization
OLIPHANT HOLISTIC HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THRAESE BROWN NP (AR)
(813) 679-6592
Entity
Organization
Contact information
Practice address
220 W BRANDON BLVD STE 204, BRANDON, FL 33511-5100
(813) 203-7399
Mailing address
11214 E DR MLK JR BLVD, STE 101, SEFFNER, FL 33584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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