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Individual

CLARA I HOLODAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
9009 CORPORATE LAKE DR, STE 200, TAMPA, FL 33634-2367
(407) 508-9545
(855) 802-6942
Mailing address
9009 CORPORATE LAKE DR, STE 200, TAMPA, FL 33634-2367
(407) 508-9545
(855) 802-6942

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
303034
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9356884
FL

Other

Enumeration date
01/08/2007
Last updated
05/12/2015
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