Individual
MICHELLE DENISE TOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10105 CLEAR VISTA ST STE B, ORLANDO, FL 32832-6376
(407) 249-1234
(407) 249-1755
Mailing address
11513 LAKE UNDERHILL RD, ORLANDO, FL 32825-5001
(407) 249-1234
(407) 249-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036091420
IL
208000000X
Pediatrics Physician
Primary
ME145388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108903900
—
FL
Enumeration date
02/23/2006
Last updated
07/26/2021
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