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Organization

CARMEN I TOZZO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARMEN I TOZZO PH,D. (PRESIDENT)
(352) 318-2339
Entity
Organization

Contact information

Practice address
630 N MAIN ST, WILLISTON, FL 32696-1705
(352) 529-2570
(352) 529-2570
Mailing address
PO BOX 817, WILLISTON, FL 32696-0817
(352) 318-2339
(352) 419-6310

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5911
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009252000
FL
Enumeration date
09/06/2012
Last updated
10/28/2015
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