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Individual

EDIT TOLNAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
431 UNIVERSITY BLVD, JUPITER, FL 33458-3103
(561) 296-9147
(561) 296-9148
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME88991
FL
207RH0003X
Hematology & Oncology Physician
ME88991
FL
207RX0202X
Medical Oncology Physician
Primary
ME88991
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01327
BCBS
FL
01
10924
DIMENSION HEALTH PPO
FL
05
119926200
FL
01
297761
AVMED
FL
01
302686
WELLCARE MEDICARE LOB
FL
01
7553627
AETNA
FL
01
P01582236
RR MEDICARE
FL
01
P1035645
FREEDOM
FL
01
P971440
OPTIMUM
FL
01
RV635
MEDICARE HF
FL
Enumeration date
10/04/2005
Last updated
10/30/2023
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