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Individual

TYLER ROWLAND HOLLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3210 FRUITVILLE RD, SARASOTA, FL 34237-6411
(941) 364-8887
(941) 954-3222
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN13798
FL
2085R0001X
Radiation Oncology Physician
Primary
ME119644
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011994300
FL
01
1003640
WELLCARE
FL
01
9018898
CIGNA
FL
01
P01343344
RR MEDICARE
FL
01
P1022207
FREEDOM
FL
01
P961503
OPTIMUM
FL
Enumeration date
05/27/2009
Last updated
01/13/2017
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