Organization Active NPI

Gary G Holland MD PA

  • Family Medicine Physician
  • Seminole, FL
National Provider Identifier
1336202472
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0018048 Issued in FL
Legal business name
GARY G HOLLAND MD PA
Practice address
10875 Park Blvd Ste a
Seminole, FL 33772-5456
Phone
(727) 392-2247
Fax
(727) 391-2522
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janine Elise Partridge
Title
Office Manager
Phone
(727) 392-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0018048 FL Primary

Addresses

Primary practice location

10875 Park Blvd Ste a
Seminole, FL 33772-5456

Mailing address

10875 Park Blvd Ste a
Seminole, FL 33772-5456
Phone (727) 392-2247

National Provider Directory

National Provider Directory

Locations

10875 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 392-2247

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1336202472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD STE A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725456",
            "telephone_number": "727-392-2247",
            "fax_number": "727-391-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD STE A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725456",
            "telephone_number": "727-392-2247",
            "fax_number": "727-391-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY G HOLLAND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-392-2247"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0018048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.