Individual
DR. HONGXEN N HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6901 SIMMONS LOOP, 4TH FLOOR, RIVERVIEW, FL 33578-9498
(813) 302-8388
(813) 302-8453
Mailing address
6901 SIMMONS LOOP FL 4, RIVERVIEW, FL 33578-9498
(813) 302-8388
(813) 302-8453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME119890
FL
208M00000X
Hospitalist Physician
Primary
ME119890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012209200
—
FL
01
—
14V1V
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/25/2011
Last updated
03/30/2022
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