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Individual

LINDA L HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1241 WINTERVILLE ST, DELTONA, FL 32725-2263
(386) 383-0177
(866) 300-0779
Mailing address
1241 WINTERVILLE ST, DELTONA, FL 32725-2263
(386) 490-0084
(888) 507-5747

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
002160800
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002160800
FL
Enumeration date
11/22/2010
Last updated
07/02/2015
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