Organization
OLIPHANT HOLISTIC HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THRAESE BROWN NP (AR)
(813) 679-6592
Entity
Organization
Contact information
Practice address
220 W BRANDON BLVD STE 204, BRANDON, FL 33511-5100
(813) 203-7399
Mailing address
11214 E DR MLK JR BLVD, STE 101, SEFFNER, FL 33584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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