Organization
HOLLSTROM & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN S HOLLSTROM RN BSN (CLINIC MANAGER)
(727) 393-6100
Entity
Organization
Contact information
Practice address
11444 SEMINOLE BLVD, LARGO, FL 33778-3237
(727) 393-6100
(727) 393-5461
Mailing address
11444 SEMINOLE BLVD, LARGO, FL 33778-3237
(727) 393-6100
(727) 393-5461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34716
BLUE CROSS AND BLUE SHIEL
FL
05
—
382201000
—
FL
Enumeration date
11/09/2006
Last updated
08/27/2007
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