Individual
DR. TONYA AMBER BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2112 TERRY LN, AUBURNDALE, FL 33823-4707
(863) 287-9186
Mailing address
2112 TERRY LN, AUBURNDALE, FL 33823-4707
(863) 287-9186
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
79237
GA
207P00000X
Emergency Medicine Physician
Primary
OS11846
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2011
Last updated
05/17/2022
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