MEDICARE: DR. JOHN C TONKIN M.D.

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
1	2085R0204X	Vascular & Interventional Radiology Physician	ME0071220	FL
2	2085R0203X	Therapeutic Radiology Physician	ME0071220	FL
3	2085B0100X	Body Imaging Physician	ME0071220	FL
4	2085N0700X	Neuroradiology Physician	ME0071220	FL
5	2085R0202X	Diagnostic Radiology Physician	ME0071220	FL
6	2085U0001X	Diagnostic Ultrasound Physician	ME0071220	FL
7	2085P0229X	Pediatric Radiology Physician	ME0071220	FL
8	2085R0204X	Vascular & Interventional Radiology Physician	105343	GA
9	2085N0904X	Nuclear Radiology Physician	ME0071220	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	41581	OTHER	FL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093750820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN C TONKIN M.D.

Provider Business Mailing Address
First Line	:	1673 MASON AVE STE 305
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5516
Country	:	US
Telephone Number	:	386-274-7118
Fax Number	:	386-274-6173

Provider Business Practice Location Address
First Line	:	743 SPRING ST NE
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3715
Country	:	US
Telephone Number	:	770-219-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	02/20/2026

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