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NPI Code Detail

MEDICARE: CSMLT LLC

MEDICARE: CSMLT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1548063332
Entity Type Code : Organization
Provider Name (Legal Business Name) : CSMLT LLC
Provider Business Mailing Address
First Line : 15257 AMBERLY DR STE 157
Second Line :
City : TAMPA
State : FL
Zip : 33647-2155
Country : US
Telephone Number : 785-224-9743
Fax Number :
Provider Business Practice Location Address
First Line : 1000 TYRONE BLVD N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-6309
Country : US
Telephone Number : 785-224-9743
Fax Number :
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : GENEVA LYNN TONUZI
Credential : MD
Telephone Number : 785-224-9743
Provider Enumeration Date : 03/28/2025
Last Update Date : 10/16/2025

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Directions to “CSMLT LLC ” Practice Location

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