Provider Demographics
NPI:1417698671
Name:HOLLAND, FLOYD L B JR
Entity Type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:L B
Last Name:HOLLAND
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 ALBANY CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5635
Mailing Address - Country:US
Mailing Address - Phone:708-364-7208
Mailing Address - Fax:708-949-8873
Practice Address - Street 1:9415 ALBANY CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5635
Practice Address - Country:US
Practice Address - Phone:708-364-7208
Practice Address - Fax:708-949-8873
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-03
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28211665A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse