MEDICARE: JONATHAN TUMAN DDS 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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1609637792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONATHAN TUMAN DDS PA

Provider Business Mailing Address
First Line	:	1111 KANE CONCOURSE STE 515
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2043
Country	:	US
Telephone Number	:	305-865-7166
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 KANE CONCOURSE STE 515
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2043
Country	:	US
Telephone Number	:	305-865-7166
Fax Number	:	305-861-7870

Authorized Official
Title or Position	:	DENTIST
Name	:	JONATHAN TUMAN
Credential	:	DDS
Telephone Number	:	305-865-7166

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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