=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659431450
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TONIA M LEVINS AU.D., CCC-A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2006
-----------------------------------------------------
Last Update Date | 06/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8331 N DAVIS HWY
-----------------------------------------------------
City | PENSACOLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-505-4700
-----------------------------------------------------
Fax | 850-850-4711
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10140 CENTURION PKWY N
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32256-0532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-697-4127
-----------------------------------------------------
Fax | 904-697-5102
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 701A
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | AY2213
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------