Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN24280 | FL |
Y | 213EG0000X | General Practice | DN24280 | FL |
NPI | 1003476623 |
---|---|
Provider Name | Dr. Vera Ton |
First Address | Kissimmee, FL 34741-5001 |
Second Address | Kissimmee, FL 34741-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2019 |
Last Update Date | 13/08/2020 |