Provider Demographics
NPI:1356315147
Name:TOONKEL, LEONARD M (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:M
Last Name:TOONKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9165 PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3163
Mailing Address - Country:US
Mailing Address - Phone:305-545-6685
Mailing Address - Fax:305-545-6687
Practice Address - Street 1:9165 PARK DR
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-3163
Practice Address - Country:US
Practice Address - Phone:305-545-6685
Practice Address - Fax:305-545-6687
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2019-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME291562085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD63414Medicare UPIN