DR. SUSAN KIM HOLLAND (NPI# 1891816674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891816674 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KIM HOLLAND |
| Credential | M.D. |
| Practice Address |
2100 Prevatt St Eustis FL 32726-6130 |
| Mailing Address |
7001 Hodgson Memorial Dr Suite 5 Savannah GA 31406-2549 |
| Practice Telephone | 3523088903 |
| Practice Fax Number | 3524600785 |
| Mailing Telephone | 9123497656 |
| Mailing Fax Number | 9123497659 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
64562 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 64562 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7001 Hodgson Memorial Dr, Suite 5, Savannah, GA 314062549 | 9123497656 | 9123497659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851515159 | Susan G. Holland | Speech-Language Pathologist | 595 E Colorado Blvd Ste 622, Pasadena, CA 91101-2015 | 2007-04-11 |
| 1235261298 | Susan Holland | Massage Therapist | 5635 Berger Pl Se, Olympia, WA 98513 | 2007-03-12 |
| 1932195948 | Susan J Holland | Internal Medicine | 11 Smokehouse Dr, Suite 101, Fredericksburg, VA 22406-8455 | 2005-09-26 |
| 1841851037 | Susan Holland | Counselor | 4045 Orchard Rd Se, Smyrna, GA 30080-4902 | 2019-06-27 |
| 1063970481 | Susan Holland | Social Worker | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2019-03-05 |
| 1427243195 | Susan Elizabeth Holland | Audiologist-Hearing Aid Fitter | 1701 S Palestine St Ste B, Athens, TX 75751-8951 | 2007-09-06 |
| 1902009343 | Susan Holland | Physical Therapist | 1400 Veterans Blvd, 2nd Floor, Redwood City, CA 94063-2612 | 2007-06-05 |
| 1588719371 | Susan L Holland | Social Worker | 667 Lighthouse Ave, Suite 301, Pacific Grove, CA 93950-2665 | 2007-01-24 |
| Street Address |
2100 PREVATT ST |
| City | EUSTIS |
| State | FL |
| Zip Code | 32726-6130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902885999 | Martin R Austria | Pathology | 2100 Prevatt St, Eustis, FL 32726-6130 | 2006-01-10 |
| 1265798870 | Mid-florida Pathology LLC | Pathology | 2100 Prevatt St, Eustis, FL 32726-6130 | 2012-04-09 |
| 1891754917 | Mario Blanco | Pathology | 2100 Prevatt St, Eustis, FL 32726-6130 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497637 | Alton Emory Kinlaw | Pharmacist | 99 Hillside Drive, Eustis, FL 32726 | 2020-01-28 |
| 1053833426 | Nalia Elizabeth Alicea | Behavioral Analyst | 949 Marietta Lane, Eustis, FL 32726 | 2017-07-07 |
| 1760840938 | Beautiful Angels LLC | Exclusive Provider Organization | 2208 Virginia Avenue, Eustis, FL 32726 | 2016-02-03 |
| 1902274624 | Breakthrough Transitions LLC | Social Worker | 2201 S. Bay Street, Suite B-2, Eustis, FL 32726 | 2015-09-11 |
| 1104223916 | Integrative Physical Medicine of Mount Dora LLC | Specialist | 2818 S Bay St, Eustis, FL 32726 | 2014-11-21 |
| 1154763290 | Irina N Krasilova | Pharmacist | 1950 Sr 19 N, Eustis, FL 32726 | 2013-07-17 |
| 1063773679 | Mangalmurti LLC | Pharmacy | 17435 Us Highway 441, Suite-102, Eustis, FL 32726 | 2012-05-31 |
| 1477813806 | My Darling Angels Home Companion Services | Private Vehicle | 102 Morningview Dr, Eustis, FL 32726 | 2012-05-18 |
| 1801166186 | Akhlaqus Chowdhury | Pharmacist | 2005 North Sr 19, Eustis, FL 32726 | 2012-01-04 |
| 1316269244 | Kamlesh Patel | Pharmacist | 2705 Cotton Ct, Eustis, FL 32726 | 2010-02-19 |
| Find all providers in zip 32726 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646930 | Neil Sandhu Pa | Dermatology | 1431 Orange Camp Rd Ste 115, Deland, FL 32724-7770 | 2020-07-08 |
| 1801369020 | Venice Dermatology Clinic Pa | Dermatology | 3171 Bobcat Village Center Rd, North Port, FL 34288-8974 | 2019-01-10 |
| 1548739246 | Associates & Affiliates In Dermatology LLC | Dermatology | 5210 Webb Rd Ste B, Tampa, FL 33615-4518 | 2018-11-26 |
| 1558836445 | Docta LLC | Dermatology | 5200 S University Dr Ste 102a, Davie, FL 33328-5316 | 2018-10-08 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1609215912 | Nosky P.a. | Dermatology | 512 Cypress Parkway, Poinciana, FL 34759 | 2013-06-19 |
| 1487098059 | Jason R Rosen | Dermatology | 4675 Linton Blvd Ste 203b, Delray Beach, FL 33445-6615 | 2013-04-25 |
| 1881964864 | Harold Edward Garber | Dermatology | 605 San Marco Dr, Fort Lauderdale, FL 33301-2547 | 2012-01-06 |
| 1245523414 | Sanchez Dermatology Services | Dermatology | 420 N Plant Ave, Plant City, FL 33563-7248 | 2011-05-22 |
| 1316244379 | Teresa C Rey | Dermatology | 3760 Sw 139th Pl, Miami, FL 33175-6749 | 2011-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.