| Maria E. Holcomb, D.o., Llc | |
|
6601 Memorial Hwy Suite 320 Tampa FL 33615-4501 | |
| (813) 313-7535 | |
| (813) 243-2343 |
| Full Name | Maria E. Holcomb, D.o., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6601 Memorial Hwy, Tampa, Florida |
| Authorized Official Name and Position | Maria E. Holcomb (SOLE PROPRIETOR) |
| Authorized Official Contact | 8133137535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria E. Holcomb, D.o., Llc 6601 Memorial Hwy Suite 320 Tampa FL 33615-4501 Ph: (813) 313-7535 | Maria E. Holcomb, D.o., Llc 6601 Memorial Hwy Suite 320 Tampa FL 33615-4501 Ph: (813) 313-7535 |
| NPI Number | 1740605393 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 02/19/2014 |
| Medicare PECOS PAC ID | 7618107087 |
|---|---|
| Medicare Enrollment ID | O20140304001041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740605393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS4970 (Florida) | Primary |
| Provider Name | Maria E Holcomb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023167608 PECOS PAC ID: 4587789615 Enrollment ID: I20100914000166 |
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