Provider Demographics
NPI:1083495964
Name:HOLLAND, CAITLIN SUZANNE (NRP, PA-C)
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:SUZANNE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:NRP, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8811 KANAWHA RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4943
Mailing Address - Country:US
Mailing Address - Phone:702-769-2187
Mailing Address - Fax:
Practice Address - Street 1:8811 KANAWHA RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4943
Practice Address - Country:US
Practice Address - Phone:702-769-2187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMD543348146L00000X
FLPA91180000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic