Provider Demographics
NPI:1740887835
Name:HOLLY DURNING ACUPUNCTURE, INC.
Entity type:Organization
Organization Name:HOLLY DURNING ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DURNING
Authorized Official - Suffix:
Authorized Official - Credentials:DOM, AP
Authorized Official - Phone:727-266-7624
Mailing Address - Street 1:3935 16TH ST N UNIT 200
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-5602
Mailing Address - Country:US
Mailing Address - Phone:727-266-7624
Mailing Address - Fax:
Practice Address - Street 1:3935 16TH ST N UNIT 200
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-5602
Practice Address - Country:US
Practice Address - Phone:727-266-7624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center