Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tavious Hollis

Individual provider Peer Specialist · NPI 1720786007

Tavious Hollis is a Peer Specialist in Melbourne, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1600 Sarno Rd Ste 119J
Melbourne, FL 32935
Phone: (321) 345-7832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1720786007
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 16, 2023
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023
Mailing address1600 Sarno Road, Suite 119j, Melbourne, FL 32935