Individual
DR. DAVID MARTONE TOBOLOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
9601 SW 123RD AVE, MIAMI, FL 33186-2540
(305) 667-1101
(786) 206-0987
Mailing address
PO BOX 165923, MIAMI, FL 33116-5923
(305) 667-1101
(786) 206-0987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME35659
FL
2084P0805X
Geriatric Psychiatry Physician
ME35659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066399900
—
FL
01
—
95875
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/03/2005
Last updated
11/11/2020
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