Holly Long (NPI# 1023409661, PAC ID# 6507141819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1023409661 |
| PAC ID by PECOS | 6507141819 |
| Professional Enrollment ID | I20170329002847 |
| Full Name | Holly Long |
| Organization Legal Name | PUBLIX SUPER MARKETS, INC |
| Address |
11109 Winthrop Market St Riverview FL 33578-4252 |
| Phone Number | 8136840169 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 4385644673 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11109 Winthrop Market St, Riverview, FL 33578-4252 | 8136840169 | PUBLIX SUPER MARKETS, INC |
| 200 37th Ave N, St Petersburg, FL 33704-1416 | 7278957767 | PUBLIX SUPER MARKETS, INC |
| Organization Legal Name | PUBLIX SUPER MARKETS, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Stolarz | Registered Dietitian Or Nutrition Professional | Publix Super Markets, Inc | 1920 County Rd, Suite 581, Wesley Chapel, FL 33544-9262 |
| Street Address |
11109 WINTHROP MARKET ST |
| City | RIVERVIEW |
| State | FL |
| Zip | 33578-4252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aleem Bakhtiar | Emergency Medicine | Valencia Emergency Physicians LLC | 12530 S Us Hwy 301, Riverview, FL 33578 |
| Kelly J Grabbe | Emergency Medicine | Valencia Emergency Physicians LLC | 12530 S Us Hwy 301, Riverview, FL 33578 |
| Jeanette E Dilan-koetje | Emergency Medicine | Valencia Emergency Physicians LLC | 12530 S Us Hwy 301, Riverview, FL 33578 |
| Heriberto Elizarraras | Emergency Medicine | Valencia Emergency Physicians LLC | 12530 S Us Hwy 301, Riverview, FL 33578 |
| Mayer N Fishman | Hematology/oncology | Tampa General Medical Group Inc | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 |
| Firas M Abed | Nephrology | Florida Kidney Physicians LLC | 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594 |
| Sisa K Jose | Nurse Practitioner | Florida Kidney Physicians LLC | 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594 |
| Azhar Malik | Nephrology | Florida Kidney Physicians LLC | 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594 |
| Viraj V Bhalani | Nephrology | Florida Kidney Physicians LLC | 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594 |
| Amit Johnsingh | Nephrology | Florida Kidney Physicians LLC | 3140 S Falkenburg Rd, Suite 201, Riverview, FL 33578-2594 |
| Find all physicians in zip 33578 | |||
| City | RIVERVIEW |
| Zip Code | 33578 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | RIVERVIEW + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Holly Long.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.