Provider Demographics
NPI:1043097603
Name:LOVONE, TONIKA
Entity Type:Individual
Prefix:
First Name:TONIKA
Middle Name:
Last Name:LOVONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 NE MIAMI GARDENS DR APT 304E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4622
Mailing Address - Country:US
Mailing Address - Phone:786-872-4131
Mailing Address - Fax:
Practice Address - Street 1:301 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-6756
Practice Address - Country:US
Practice Address - Phone:754-260-6709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO6357152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist