Individual
DR. CARLA MONICA HOLLOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2140 CENTERVILLE RD, TALLAHASSEE, FL 32308-4314
(850) 383-3428
(850) 383-3487
Mailing address
300 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 875-1146
(850) 875-1218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0007688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069578
VISTA HEALTHPLAN
FL
01
—
167177
HEALTHEASE- MEDICAID HMO
FL
05
—
255092000
—
FL
01
—
44300
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/10/2006
Last updated
02/27/2024
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