Healthcare Provider Details

I. General information

NPI: 1306794797
Provider Name (Legal Business Name): TINA TONEY APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 LEXINGTON SQ SW
VERO BEACH FL
32962-3431
US

IV. Provider business mailing address

1615 LEXINGTON SQ SW
VERO BEACH FL
32962-3431
US

V. Phone/Fax

Practice location:
  • Phone: 954-638-5692
  • Fax:
Mailing address:
  • Phone: 954-638-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11045808
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: