Provider Demographics
NPI:1083929194
Name:HOLLAND, REED (DO)
Entity Type:Individual
Prefix:DR
First Name:REED
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 863407
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-3407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:1854 RYE RD UNIT E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212-9038
Practice Address - Country:US
Practice Address - Phone:941-216-3939
Practice Address - Fax:941-782-3441
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11975207R00000X
FLUO2510207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL011159000Medicaid
FL14R6HOtherBCBS
FLP01312348OtherRR MEDICARE
FL14R6HOtherBCBS