Healthcare Provider Details

I. General information

NPI: 1841146933
Provider Name (Legal Business Name): ANNA V HOLLIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 VIA BELLA BLVD STE 205
LAND O LAKES FL
34639-5429
US

IV. Provider business mailing address

28115 LEONA LN
WESLEY CHAPEL FL
33544-3552
US

V. Phone/Fax

Practice location:
  • Phone: 813-984-2600
  • Fax: 813-377-1738
Mailing address:
  • Phone: 727-647-8936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11045877
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: