Holley, Robb Warren

Holley, Robb Warren is an individual health care provider with primary practice located at 873 E Bloomingdale Ave , Brandon FL 33511-8113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holley, Robb Warren can be contacted via phone (813) 643-8300.

Contact Information

Primary practice address
873 E Bloomingdale Ave Brandon FL 33511-8113
Fax: (813) 443-8133
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME102311 Florida

Profile Details

NPI number 1568651586
LBN Legal business name Holley, Robb Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Jan 12th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568651586 NPPES
Florida Other 58322 BLUE CROSS BLUE SHIELD
Florida MEDICAID 000326700 BLUE CROSS BLUE SHIELD

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