Healthcare Provider Details

I. General information

NPI: 1457417537
Provider Name (Legal Business Name): JANE TUVIA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2006
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 NW 13TH ST STE 1D
BOCA RATON FL
33486-2337
US

IV. Provider business mailing address

951 NW 13TH ST STE 1D
BOCA RATON FL
33486-2337
US

V. Phone/Fax

Practice location:
  • Phone: 516-380-6609
  • Fax:
Mailing address:
  • Phone: 516-380-6609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number186027
License Number StateNY

VIII. Authorized Official

Name: JANE EBIN TUVIA
Title or Position: ATTENDING RADIOLOGIST
Credential: MD
Phone: 516-380-6609