Provider Demographics
NPI:1386815645
Name:TOKASH, TERRY L (CRNA)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:L
Last Name:TOKASH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 STONE GATE S
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3020
Mailing Address - Country:US
Mailing Address - Phone:352-262-4593
Mailing Address - Fax:
Practice Address - Street 1:9 STONE GATE S
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-3020
Practice Address - Country:US
Practice Address - Phone:352-262-4593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2022-06-24
Deactivation Date:2009-09-10
Deactivation Code:
Reactivation Date:2012-10-03
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002281367500000X
FLPT23364225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist