Healthcare Provider Details

I. General information

NPI: 1316759491
Provider Name (Legal Business Name): ALEC MICHAEL TOFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 W INDIANTOWN RD
JUPITER FL
33458-3536
US

IV. Provider business mailing address

8418 SE SHARON ST
HOBE SOUND FL
33455-7235
US

V. Phone/Fax

Practice location:
  • Phone: 561-436-5996
  • Fax:
Mailing address:
  • Phone: 763-447-5868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11036909
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: