Individual
MARK W HOLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(833) 450-4859
Mailing address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(386) 736-4348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME52028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0624049
AETNA NO
FL
05
—
063726200
—
FL
01
—
10617
BLUE CROSS NO
FL
01
—
4017559007
CIGNA NO
FL
Enumeration date
04/13/2006
Last updated
04/17/2024
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