Provider Demographics
NPI:1326167230
Name:TOMAN, CHARLES VICTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:VICTOR
Last Name:TOMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7301A W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3409
Mailing Address - Country:US
Mailing Address - Phone:561-221-6895
Mailing Address - Fax:561-221-6896
Practice Address - Street 1:7301A W PALMETTO PARK RD
Practice Address - Street 2:SUITE 100B
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3409
Practice Address - Country:US
Practice Address - Phone:561-221-6895
Practice Address - Fax:561-221-6896
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003016151207X00000X
GA060886207X00000X
ALMD.28749207X00000X
FLME102328207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I200050Medicare PIN
AL510I200032Medicare PIN