Healthcare Provider Details
I. General information
NPI: 1811285455
Provider Name (Legal Business Name): DARREN M HOLLAND RPA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/18/2011
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US
IV. Provider business mailing address
PO BOX 100237
GAINESVILLE FL
32610-3003
US
V. Phone/Fax
- Phone: 352-265-0301
- Fax:
- Phone: 352-273-5159
- Fax: 352-273-5213
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 014876 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 014876-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: