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NPI Code Detail

MEDICARE: JANA HOLLAND PA

MEDICARE: JANA HOLLAND PA
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
1207R00000XInternal Medicine PhysicianME63291FL

General Provider Information

NPI Number : 1902002447
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANA HOLLAND PA
Provider Business Mailing Address
First Line : PO BOX 1525
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-7525
Country : US
Telephone Number : 850-892-8739
Fax Number :
Provider Business Practice Location Address
First Line : 785 S 2ND ST
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32435-4903
Country : US
Telephone Number : 850-892-5739
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JANA MARIE HOLLAND
Credential : M.D.
Telephone Number : 850-892-5739
Provider Enumeration Date : 06/22/2007
Last Update Date : 08/22/2020

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