MEDICARE: MICHAEL TONKS MD

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	207L00000X	Anesthesiology Physician	ME48329	FL

General Provider Information

NPI Number	:	1720069321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL TONKS MD

Provider Business Mailing Address
First Line	:	804 SCOTT NIXON MEMORIAL DR
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-2464
Country	:	US
Telephone Number	:	800-394-4445
Fax Number	:

Provider Business Practice Location Address
First Line	:	3370 BURNS RD
Second Line	:	STE 2000
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4327
Country	:	US
Telephone Number	:	561-626-9882
Fax Number	:

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	11/07/2016

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