MEDICARE: DR. DOUGLAS ALAN HOLLERN M.D.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	A170931	CA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME157588	FL

General Provider Information

NPI Number	:	1710332499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS ALAN HOLLERN M.D.

Provider Business Mailing Address
First Line	:	3641 S MIAMI AVE STE 353B
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3641 S MIAMI AVE STE 353B
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4204
Country	:	US
Telephone Number	:	305-783-4833
Fax Number	:

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

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	01/22/2026

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