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NPI Code Detail

MEDICARE: KRISTIN SUMER TONTO

MEDICARE: KRISTIN SUMER TONTO
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
1363LF0000XFamily Nurse PractitionerARNP3377742FL

General Provider Information

NPI Number : 1912412883
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN SUMER TONTO
Provider Business Mailing Address
First Line : 5200 LIBERTY LAKE DR S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-3306
Country : US
Telephone Number : 904-294-2552
Fax Number :
Provider Business Practice Location Address
First Line : 4475 SAN JUAN AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3357
Country : US
Telephone Number : 904-389-0314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2017
Last Update Date : 12/13/2017

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Directions to “ KRISTIN SUMER TONTO ” Practice Location

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