Individual
DR. GERALD M HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 PATRICK DR, FORT WALTON BEACH, FL 32547-1496
(850) 863-1767
Mailing address
203 PATRICK DR, FORT WALTON BEACH, FL 32547-1496
(850) 863-1767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
706D
FL
208D00000X
General Practice Physician
Primary
706D
FL
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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