Basic Information
Provider Information
NPI: 1487628806
EntityType: 2
ReplacementNPI:  
OrganizationName: LEONARD TOONKEL MD & ASSOCIATES PA
LastName:  
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Credential:  
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Mailing Information
Address1: PO BOX 402865
Address2:  
City: MIAMI BEACH
State: FL
PostalCode: 331400865
CountryCode: US
TelephoneNumber: 3055036320
FaxNumber: 3055036329
Practice Location
Address1: 4300 ALTON RD
Address2:  
City: MIAMI BEACH
State: FL
PostalCode: 331402800
CountryCode: US
TelephoneNumber: 3055353400
FaxNumber: 3055353416
Other Information
ProviderEnumerationDate: 02/14/2006
LastUpdateDate: 03/07/2012
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: TOONKEL
AuthorizedOfficialFirstName: LEONARD
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: DIRECTOR
AuthorizedOfficialTelephone: 3055353400
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001XME29156FLY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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