Organization
DANIEL T HOLLEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL THOMAS HOLLEY MD (PRESIDENT)
(772) 286-0677
Entity
Organization
Contact information
Practice address
2065 SOUTH KANNER HIGHWAY, STUART, FL 34994
(772) 286-0677
(772) 286-6720
Mailing address
2065 SOUTH KANNER HIGHWAY, STUART, FL 34994
(772) 286-0677
(772) 286-6720
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME73391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005673558
AETNA
FL
01
—
240006528
RAILROAD MEDICARE
FL
01
—
41373
BLUE CROSS BLUE SHIELD FL
FL
01
—
720838
CIGNA
FL
Enumeration date
02/23/2007
Last updated
05/02/2008
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