Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 35-088192 | OH |
Y | 207PP0204X | Pediatric Emergency Physician | ME113760 | FL |
NPI | 1225197726 |
---|---|
Provider Name | Carolyn Kluwe Holland |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 06/11/2012 |