Individual
HOLLY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6400 W NEWBERRY RD STE 302, GAINESVILLE, FL 32605-6604
(352) 331-8902
Mailing address
551 SE CHAPMAN AVE, PORT SAINT LUCIE, FL 34984-4756
(772) 834-9550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112936
FL
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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