Individual
DR. WILLIAM LOGAN TONTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 40TH ST W, BRADENTON, FL 34205-1724
(941) 205-0201
(941) 210-6300
Mailing address
802 40TH ST W, BRADENTON, FL 34205-1724
(941) 205-0201
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME110180
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
A69746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003738300
—
FL
05
—
00A697460
—
CA
01
—
209658006
MEDICARE PTAN
IL
Enumeration date
03/29/2006
Last updated
11/14/2025
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