Individual
MR. TONY JOHN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
540 MEDICAL OAKS AVE STE 102, BRANDON, FL 33511-5995
(813) 651-1991
(813) 651-1401
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
07/15/2019
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