Provider Demographics
NPI:1053644203
Name:TONUZI, GENEVA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:GENEVA
Middle Name:LYNN
Last Name:TONUZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GENEVA
Other - Middle Name:LYNN
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3599 UNIVERSITY BLVD. SOUTH
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216
Mailing Address - Country:US
Mailing Address - Phone:904-345-7776
Mailing Address - Fax:904-345-7772
Practice Address - Street 1:3901 UNIVERSITY BLVD. SOUTH
Practice Address - Street 2:SUITE # 103
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-345-7373
Practice Address - Fax:904-345-7372
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119258208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHV808ZMedicare UPIN