Individual
JOHN T TOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1185 DUNLAWTON AVE STE 100, PORT ORANGE, FL 32127-2906
(386) 672-0017
(386) 676-0506
Mailing address
PO BOX 947381, ATLANTA, GA 30394-7381
(386) 672-0017
(386) 676-0506
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME0050127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041825100
—
FL
Enumeration date
08/10/2005
Last updated
10/09/2023
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