Individual
DOROTHEA ANN TOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16281 BASS RD STE 300, FORT MYERS, FL 33908-9687
(239) 343-7110
(239) 343-5255
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7110
(239) 343-5255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010459400
—
FL
Enumeration date
12/11/2013
Last updated
09/19/2022
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