Provider Demographics
NPI:1750759080
Name:NOBIL, HOLLY J
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:J
Last Name:NOBIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1674 MERIDIAN AVE
Mailing Address - Street 2:201
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2801
Mailing Address - Country:US
Mailing Address - Phone:305-760-8756
Mailing Address - Fax:305-760-8759
Practice Address - Street 1:1674 MERIDIAN AVE
Practice Address - Street 2:201
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2801
Practice Address - Country:US
Practice Address - Phone:305-760-8756
Practice Address - Fax:305-760-8759
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2016-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3347171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist