Individual
HOLLEY S MOULING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 TECH BLVD, TAMPA, FL 33619-7846
(813) 521-9546
Mailing address
422 W AMELIA AVE, TAMPA, FL 33602-1924
(813) 521-9546
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
374U00000X
Home Health Aide
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024670700
—
FL
Enumeration date
01/23/2022
Last updated
01/21/2026
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