Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | OS5526 | FL |
NPI | 1326074246 |
---|---|
Provider Name | Dr. William L Toback |
First Address | Miami, FL 33126-2051 |
Second Address | West Palm Beach, FL 33406-5903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 16/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80121 | (02) | FL |
F05526 | (02) | FL |