Provider Demographics
NPI:1093180713
Name:MACHADO, TONYA NICOLE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:TONYA
Middle Name:NICOLE
Last Name:MACHADO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:TONYA
Other - Middle Name:NICOLE
Other - Last Name:MOCHOCKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3601 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3676
Mailing Address - Country:US
Mailing Address - Phone:772-208-3057
Mailing Address - Fax:772-209-4200
Practice Address - Street 1:1241 SE INDIAN ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997
Practice Address - Country:US
Practice Address - Phone:772-781-2207
Practice Address - Fax:888-831-3522
Is Sole Proprietor?:No
Enumeration Date:2015-12-07
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9324525363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024371700Medicaid