Individual
TENEE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12276 SAN JOSE BLVD STE 507, JACKSONVILLE, FL 32223-8618
(904) 288-8910
(904) 288-8912
Mailing address
12276 SAN JOSE BLVD STE 507, JACKSONVILLE, FL 32223-8618
(904) 288-8910
(904) 288-8912
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
811662800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811662800
—
FL
Enumeration date
03/23/2007
Last updated
07/09/2007
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