Organization
TOLES PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERJUAN TOLES (OWNER)
(239) 595-9040
Entity
Organization
Contact information
Practice address
5319 19TH AVE SW, NAPLES, FL 34116-5631
(239) 595-9040
(239) 330-7028
Mailing address
5319 19TH AVE SW, NAPLES, FL 34116-5631
(239) 595-9040
(239) 330-7028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
208D00000X
General Practice Physician
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/04/2022
Last updated
03/15/2022
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