Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 11004966 | FL |
N | 207VG0400X | Gynecologist | 11004966 | FL |
N | 207VX0000X | Obstetrician | 11004966 | FL |
Y | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 11004966 | FL |
NPI | 1225672850 |
---|---|
Provider Name | Flor Toledo |
First Address | Deland, FL 32720-3284 |
Second Address | Deland, FL 32720-3284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2019 |
Last Update Date | 12/03/2020 |