Individual
DANIEL T HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2065 SOUTH KANNER HIGHWAY, STUART, FL 34994
(772) 286-0677
(772) 286-6720
Mailing address
2065 SOUTH KANNER HIGHWAY, STUART, FL 34994
(772) 286-0677
(772) 286-6720
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME73391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005673558
AETNA
FL
01
—
240006528
RAILROAD MEDICARE
FL
01
—
41373
BC BS OF FLORIDA
FL
01
—
650921418
FIRST HEALTH
FL
01
—
720838
CIGNA
FL
Enumeration date
10/03/2006
Last updated
05/02/2008
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