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NPI Code Detail

MEDICARE: DR. HOLLY J NOBIL

MEDICARE:  DR. HOLLY J NOBIL
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
1171100000XAcupuncturist3347FL

General Provider Information

NPI Number : 1750759080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLLY J NOBIL
Provider Business Mailing Address
First Line : 1674 MERIDIAN AVE
Second Line : 201
City : MIAMI BEACH
State : FL
Zip : 33139-2801
Country : US
Telephone Number : 305-760-8756
Fax Number : 305-760-8759
Provider Business Practice Location Address
First Line : 1674 MERIDIAN AVE
Second Line : 201
City : MIAMI BEACH
State : FL
Zip : 33139-2801
Country : US
Telephone Number : 305-760-8756
Fax Number : 305-760-8759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 10/16/2016

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Directions to “ DR. HOLLY J NOBIL ” Practice Location

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