Individual
ALISA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3043 W CLEVELAND ST, TAMPA, FL 33609-3151
(813) 876-9961
(813) 877-9680
Mailing address
15320 AMBERLY DR, SUITE B, TAMPA, FL 33647-1647
(813) 977-0733
(813) 971-2230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME112736
FL
207R00000X
Internal Medicine Physician
P0227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GM900Z
MEDICARE PTAN
FL
Enumeration date
08/10/2010
Last updated
08/28/2014
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