Holl, Jennifer Samples

Holl, Jennifer Samples is an sole proprietor health care provider with primary practice located at 1921 Waldemere St , Sarasota FL 34239-2943. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Holl, Jennifer Samples can be contacted via phone (941) 261-1400.

Contact Information

Primary practice address
1921 Waldemere St Sarasota FL 34239-2943
Phone: (941) 261-1400
Fax: (941) 308-8420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2018-01719 North Carolina
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME162888 Florida

Profile Details

NPI number 1336460922
LBN Legal business name Holl, Jennifer Samples
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2010
Last updated Jun 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336460922 NPPES
North Carolina MEDICAID 1336460922

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