Healthcare Provider Details

I. General information

NPI: 1699245951
Provider Name (Legal Business Name): PHILIP JOHN TOFT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1066 SW GATLIN BLVD
PORT ST LUCIE FL
34953-3223
US

IV. Provider business mailing address

1066 SW GATLIN BLVD
PORT ST LUCIE FL
34953-3223
US

V. Phone/Fax

Practice location:
  • Phone: 727-324-9337
  • Fax: 772-324-9347
Mailing address:
  • Phone: 772-324-9337
  • Fax: 772-324-9347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: