Basic Information
| Provider Information | |||||||||
| NPI: | 1598884496 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLLOWELL | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | PHILIP | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5850 CORAL RIDGE DR | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330763378 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547148200 | ||||||||
| FaxNumber: | 9548402626 | ||||||||
| Practice Location | |||||||||
| Address1: | 5850 CORAL RIDGE DR | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330763378 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547148200 | ||||||||
| FaxNumber: | 9548402626 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2007 | ||||||||
| LastUpdateDate: | 06/21/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | ME112955 | FL | Y | Allopathic & Osteopathic Physicians | Urology | 2088F0040X | ME112955 | FL | N | Allopathic & Osteopathic Physicians | Urology | Female Pelvic Medicine and Reconstructive Surgery | 2088P0231X | ME112955 | FL | N | Allopathic & Osteopathic Physicians | Urology | Pediatric Urology |
No ID Information.