Individual
JEAN L TOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6550 N FEDERAL HWY, SUITE 512, FORT LAUDERDALE, FL 33308-1404
(954) 267-8777
(954) 772-7801
Mailing address
6550 N FEDERAL HWY, SUITE 512, FORT LAUDERDALE, FL 33308-1404
(954) 267-8777
(954) 772-7801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0002563
FL
363AS0400X
Surgical Physician Assistant
Primary
PA 2563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0983V
MEDICARE PTAN
FL
01
—
P00450777
MEDICARE RAIL ROAD
FL
Enumeration date
09/12/2006
Last updated
05/05/2010
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