Individual
EDWARD HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33949
(941) 629-1181
(941) 624-6020
Mailing address
5424 GRAND BLVD, NEW PORT RICHEY, FL 34652
(727) 845-1736
(727) 849-0759
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN3180702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310998400
—
FL
Enumeration date
07/07/2006
Last updated
12/08/2011
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