Loebl, Holly Ann

Loebl, Holly Ann is an individual health care provider with primary practice located at 258 S Chickasaw Trl Ste 200 , Orlando FL 32825-3501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Loebl, Holly Ann can be contacted via phone (407) 303-6865.

Contact Information

Primary practice address
258 S Chickasaw Trl Ste 200 Orlando FL 32825-3501
Phone: (407) 303-6865
Fax: (407) 303-6537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102707 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102707 Florida

Profile Details

NPI number 1962490177
LBN Legal business name Loebl, Holly Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Sep 1st, 2020 - about 4 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 1962490177 NPPES
Florida Other 391595 WELLCARE
Florida MEDICAID 292856600 WELLCARE

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