Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME131848 | FL |
NPI | 1124318795 |
---|---|
Provider Name | William Peyton Toole |
First Address | Lake Worth, FL 33463-6998 |
Second Address | Lake Worth, FL 33463-6998 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2011 |
Last Update Date | 03/11/2021 |