Individual
DR. HOLLY LOUISE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1833 BOULEVARD, VA OUTPATIENT CLINIC, CARDIOLOGY, JACKSONVILLE, FL 32206-4382
(904) 232-2751
Mailing address
1833 BOULEVARD, VA OUTPATIENT CLINIC, CARDIOLOGY, JACKSONVILLE, FL 32206-4382
(904) 232-2751
(904) 232-3217
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
68755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251282300
—
FL
Enumeration date
08/15/2005
Last updated
07/26/2010
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