Organization
CONSOLIDATED DOMAIN SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L HOLLING MD (OWNER)
(772) 215-4562
Entity
Organization
Contact information
Practice address
509 SE RIVERSIDE DR, SUITE 200, STUART, FL 34994-2579
(772) 283-5864
(772) 283-3830
Mailing address
509 SE RIVERSIDE DR, SUITE 200, STUART, FL 34994-2579
(772) 283-5864
(772) 283-3830
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
04/17/2025
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