Most Relevant Information
Provider Data
| NPI Number: | 1003254228 |
| Provider Name: | KYLE HOLLINGSWORTH PA-C, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AL3527 |
Most Important Dates
| Enumeration Date: | 06/10/2013 |
| Last Updated: | 09/19/2019 |
Provider Practice Location
710 LOMAX ST
JACKSONVILLE
FL
322044015
Practice Location Phone/Fax
| Phone: | 9043556583 |
| Fax: |
Provider Mailing Location
13582 CAPISTRANO DR S
JACKSONVILLE
FL
322243078
Provider Mailing Phone/Fax
| Phone: | 8134861430 |
| Fax: |