Doctor Name: | DR. KEILA THAMAR TOSADO |
NPI Number: | 1881843860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 17316 |
Business Practice Address: | 2201 North Blvd W Davenport, FL - 338378990 |
Business Phone Number: | 8634190688 |
Business Fax Number: | 8634199547 |
Mailing Address: | 2201 North Blvd W, DAVENPORT |
State: | FL |
Postal Code: | 338378990 |
Phone Number: | 8634190688 |
Fax Number: | 8634199547 |
NPI Enumeration Date: | 09/15/2008 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17316 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |