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NPI Code Detail

MEDICARE: DR. ANTHONY WILLIAM TANONA PSY.D.

MEDICARE: DR. ANTHONY WILLIAM TANONA PSY.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
1103TC0700XClinical PsychologistPY 7207FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111581680OTHERFLCAQH PROVIDER ID

General Provider Information

NPI Number : 1942236070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY WILLIAM TANONA PSY.D.
Provider Business Mailing Address
First Line : 17501 BISCAYNE BLVD
Second Line : SUITE 450
City : AVENTURA
State : FL
Zip : 33160-4802
Country : US
Telephone Number : 305-933-5733
Fax Number : 305-933-5233
Provider Business Practice Location Address
First Line : 17501 BISCAYNE BLVD
Second Line : SUITE 450
City : AVENTURA
State : FL
Zip : 33160-4802
Country : US
Telephone Number : 305-933-5733
Fax Number : 305-933-5233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 10/15/2013

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