Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAVIOUS HOLLIS
Active Sole ProprietorTAVIOUS HOLLIS is a Peer Specialist healthcare provider located in MELBOURNE, Florida. NPI 1720786007 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · MELBOURNE, FL
Registration Details
- NPI Number
- 1720786007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2023 (3.5133132438828 yrs)
- Last Updated
- Feb 16, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 SARNO ROAD, SUITE 119JMELBOURNE, FL, 32935Browse FL providers · Browse ZIP 32935
- Phone
- 3213457832
- Primary Specialty
-
Peer Specialist
175T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.