Organization
HOLISTIC MATERNITY, LLC
Active
Other names
Holistic Maternity
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA K HOLLON LM, CPM (OWNER/CEO)
(727) 565-8798
Entity
Organization
Contact information
Practice address
10460 ROOSEVELT BLVD N, SUITE 179, ST PETERSBURG, FL 33716-3821
(727) 565-8798
(727) 497-7913
Mailing address
10460 ROOSEVELT BLVD N, SUITE 179, ST PETERSBURG, FL 33716-3821
(727) 565-8798
(727) 497-7913
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006618000
—
FL
Enumeration date
11/06/2014
Last updated
11/06/2014
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