Provider Demographics
NPI:1306042148
Name:MUZZONIGRO, TONI MARIE (DO)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:MARIE
Last Name:MUZZONIGRO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3030 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2217
Mailing Address - Country:US
Mailing Address - Phone:610-622-7933
Mailing Address - Fax:610-622-7937
Practice Address - Street 1:7575 DR PHILLIPS BLVD STE 370
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7220
Practice Address - Country:US
Practice Address - Phone:407-377-7257
Practice Address - Fax:407-542-9836
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017454207Q00000X
PAOS016036207Q00000X
FLOS11766207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine