Healthcare Provider Details

I. General information

NPI: 1225008840
Provider Name (Legal Business Name): MICHAEL J TUOHY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 MILITARY TRL
JUPITER FL
33458-7801
US

IV. Provider business mailing address

5440 N OCEAN DR APT 406
RIVIERA BEACH FL
33404-2529
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-1705
  • Fax:
Mailing address:
  • Phone: 970-309-1948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number32000
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME57838
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: