Individual
DR. TANIA M. HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UF, DEPARTMENT OF PSYCHIATRY 1600 SW ARCHER ROAD, GAINESVILLE, FL 32610
(352) 265-3284
(352) 265-7983
Mailing address
515 NW 152ND ST, MIAMI, FL 33169-6615
(786) 385-6433
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
TRN3597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRN3597
FORENSIC PSYCHIATRY FELLO
FL
Enumeration date
11/24/2006
Last updated
07/08/2007
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