Tolland, John T

Tolland, John T is an individual health care provider with primary practice located at 1185 Dunlawton Ave Ste 100 , Port Orange FL 32127-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Tolland, John T can be contacted via phone (386) 672-0017.

Contact Information

Primary practice address
1185 Dunlawton Ave Ste 100 Port Orange FL 32127-2906
Fax: (386) 676-0506
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME0050127 Florida

Profile Details

NPI number 1750383733
LBN Legal business name Tolland, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750383733 NPPES
Florida MEDICAID 041825100

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