Individual
MR. MARION VINCENT TOLLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1950 CHARLESTON LN, BARTOW, FL 33830-3035
(863) 412-9133
Mailing address
1950 CHARLESTON LN, BARTOW, FL 33830-3035
(863) 412-9133
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11019556
FL
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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