Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 35-062468 | OH |
Y | 2080P0216X | Pediatric Rheumatologist | ME132977 | FL |
NPI | 1568454924 |
---|---|
Provider Name | Mary Bratovich Toth |
First Address | Jacksonville, FL 32256-0532 |
Second Address | Orlando, FL 32827-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2005 |
Last Update Date | 13/10/2017 |