Healthcare Provider Details

I. General information

NPI: 1194006866
Provider Name (Legal Business Name): JULIE HOLLIFIELD DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 09/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 14TH ST W
BRADENTON FL
34205-6409
US

IV. Provider business mailing address

285 PARKLAND AVE
SARASOTA FL
34232-1417
US

V. Phone/Fax

Practice location:
  • Phone: 941-747-8808
  • Fax:
Mailing address:
  • Phone: 941-330-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number10019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: