Healthcare Provider Details
I. General information
NPI: 1245405398
Provider Name (Legal Business Name): THOMAS PETER TOIA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 NORTHLAKE BLVD SUITE 101
NORTH PALM BEACH FL
33408-5215
US
IV. Provider business mailing address
701 NORTHLAKE BLVD SUITE 101
NORTH PALM BEACH FL
33408-5215
US
V. Phone/Fax
- Phone: 561-845-7292
- Fax: 561-845-9164
- Phone: 561-845-7292
- Fax: 561-845-9164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH2231 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: