Healthcare Provider Details

I. General information

NPI: 1710958541
Provider Name (Legal Business Name): MARI SILVIA TOFANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARI SILVIA TOFANI MONTALVO M.D.

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 W DR MARTIN LUTHER KING JR BLVD STE 450
TAMPA FL
33607-6383
US

IV. Provider business mailing address

2995 DREW ST
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 813-875-8453
  • Fax: 813-377-1390
Mailing address:
  • Phone: 727-315-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number13745
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME116694
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME116694
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: