Individual
HOLLY L STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712
Mailing address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5525
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106982
FL
Other
Enumeration date
12/31/2012
Last updated
05/31/2022
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