Provider Demographics
NPI:1083862023
Name:ROLANDO A. TOULON, DC, PA
Entity Type:Organization
Organization Name:ROLANDO A. TOULON, DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:TOULON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-680-8182
Mailing Address - Street 1:14861 SW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4330
Mailing Address - Country:US
Mailing Address - Phone:954-680-8182
Mailing Address - Fax:954-680-8184
Practice Address - Street 1:5560 S FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-2700
Practice Address - Country:US
Practice Address - Phone:954-680-8182
Practice Address - Fax:954-680-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty