Individual
GREGORY D HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
12479 TELECOM DR, TEMPLE TERRACE, FL 33637-0913
(813) 972-4199
(813) 972-5753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106026
FL
Other
Enumeration date
07/11/2011
Last updated
09/20/2011
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