Provider Demographics
NPI:1023903432
Name:DOUGLAS A. HOLLERN MD P.A
Entity type:Organization
Organization Name:DOUGLAS A. HOLLERN MD P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOLLERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-266-4699
Mailing Address - Street 1:88 SW 7TH ST APT 2405
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3767
Mailing Address - Country:US
Mailing Address - Phone:614-266-4699
Mailing Address - Fax:
Practice Address - Street 1:88 SW 7TH ST APT 2405
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3767
Practice Address - Country:US
Practice Address - Phone:614-266-4699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty