Individual
MRS. ROSE MARIE HOLODNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1383 PROVIDENCE RD, BRANDON, FL 33511-4885
(813) 681-5714
(813) 689-9557
Mailing address
1383 PROVIDENCE RD, BRANDON, FL 33511-4885
(813) 681-5714
(813) 689-9557
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102591
FL
Other
Enumeration date
11/15/2006
Last updated
03/30/2011
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