| Kevan Michael Holland, | |
|
601 E Rollins St, Orlando, FL 32803-1248 | |
| (407) 303-7283 | |
| Not Available |
| Full Name | Kevan Michael Holland |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 601 E Rollins St, Orlando, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164060547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9421121 (Florida) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11006155 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Parrish Medical Center | Titusville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1163 |
| North Brevard Medical Support Inc | 7618870296 | 87 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | North Brevard Medical Support Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609834886 PECOS PAC ID: 7618870296 Enrollment ID: O20040130000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevan Michael Holland, 2501 N Orange Ave Ste 401, Orlando, FL 32804-4644 Ph: (407) 303-7283 | Kevan Michael Holland, 601 E Rollins St, Orlando, FL 32803-1248 Ph: (407) 303-7283 |
Janine Marie Kyte, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822 Phone: 407-322-8645 Fax: 407-322-8725 | |
Latoya Wells, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mercy Dr, Wellness Program, Orlando, FL 32808 Phone: 407-822-5064 Fax: 407-532-1088 | |
Aymara Del Pino, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 E Ridgewood St, Orlando, FL 32803 Phone: 407-841-1100 | |
Mr. Heng Chai Lai, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 W Underwood St, Orlando, FL 32806 Phone: 321-843-5270 Fax: 321-843-5177 | |
Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 W Columbia St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170 | |
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185 | |
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470 |