MEDICARE: HOLLEY CONTE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11039221	FL

General Provider Information

NPI Number	:	1215727565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLEY CONTE APRN

Provider Business Mailing Address
First Line	:	14720 PAR CLUB CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2730
Country	:	US
Telephone Number	:	813-382-7088
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 W SAINT ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6320
Country	:	US
Telephone Number	:	813-877-7434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	10/01/2025

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Directions to “ HOLLEY CONTE APRN” Practice Location

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