Provider Demographics
NPI:1841037561
Name:HOLLANDER, DANIEL STEVEN (DOM)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:STEVEN
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S PINELLAS AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3671
Mailing Address - Country:US
Mailing Address - Phone:727-942-4249
Mailing Address - Fax:
Practice Address - Street 1:210 S PINELLAS AVE STE 112
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3671
Practice Address - Country:US
Practice Address - Phone:727-942-4249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4581171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist