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Individual

DR. MICHELE H HOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13860 WELLINGTON TRCE STE 38-153, WELLINGTON, FL 33414-8588
(804) 350-7278
(844) 374-6554
Mailing address
19167 LAVAGA DR, ROCKVILLE, VA 23146-1557
(804) 350-7278

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101234780
VA
207P00000X
Emergency Medicine Physician
Primary
ME108560
FL
208M00000X
Hospitalist Physician
0101234780
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101234780
VIRGINIA LICENSE
VA
01
ME108560
FLORIDA LICENSE
FL
Enumeration date
06/28/2006
Last updated
08/30/2022
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