Individual
KATIE SCHONECK HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8605 US HIGHWAY 19, PORT RICHEY, FL 34668-5346
(727) 848-2977
Mailing address
5607 JOHNS RD, TAMPA, FL 33634-4499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3169
FL
Other
Enumeration date
11/22/2006
Last updated
12/03/2020
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