Healthcare Provider Details

I. General information

NPI: 1225672850
Provider Name (Legal Business Name): FLOR TOLEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W PLYMOUTH AVE
DELAND FL
32720-3284
US

IV. Provider business mailing address

850 W PLYMOUTH AVE
DELAND FL
32720-3284
US

V. Phone/Fax

Practice location:
  • Phone: 386-337-3190
  • Fax:
Mailing address:
  • Phone: 386-785-9323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number11004966
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number11004966
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number11004966
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number11004966
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: