| Company Name: | HOLLIS SEUNARINE, MDPA, LLC |
| Employer identification number (EIN): | 521005414 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Plan Name | Plan Start Date | Plan Effective Date |
|---|---|---|---|
| 502 | HOLLIS SEUNARINE, MDPA, LLC | 2020-02-01 | 2020-02-01 |