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1669411997

NPI Code Detail

MEDICARE: DR. JULIE HOLLAND MD

MEDICARE: DR. JULIE HOLLAND MD

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	207L00000X	Anesthesiology Physician	ME66822	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	50068691	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26288	OTHER		BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669411997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE HOLLAND MD

Provider Business Mailing Address
First Line	:	1381 CITRUS TOWER BLVD
Second Line	:	SUITE 104
City	:	CLERMONT
State	:	FL
Zip	:	34711-1957
Country	:	US
Telephone Number	:	352-243-9114
Fax Number	:	352-243-7822

Provider Business Practice Location Address
First Line	:	1900 DON WICKHAM DR
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-1979
Country	:	US
Telephone Number	:	352-394-4071
Fax Number	:

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	05/08/2014

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Directions to “ DR. JULIE HOLLAND MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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