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NPI Code Detail

MEDICARE: TOLENTINO TINOCO PA

MEDICARE:   TOLENTINO  TINOCO  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianPA9100861FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013018639
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOLENTINO TINOCO PA
Provider Business Mailing Address
First Line : 11957 REDBRIDGE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32824-6082
Country : US
Telephone Number : 407-856-4947
Fax Number :
Provider Business Practice Location Address
First Line : 931 W OAK ST
Second Line : STE 103
City : KISSIMMEE
State : FL
Zip : 34741-4973
Country : US
Telephone Number : 407-931-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ TOLENTINO TINOCO PA” Practice Location

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