Provider Demographics
NPI:1437538816
Name:TOMLINSON, SUNNY ROBERTSON (DO)
Entity Type:Individual
Prefix:DR
First Name:SUNNY
Middle Name:ROBERTSON
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 FLORIDA MEMORIAL PKWY STE 2500A
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-9315
Mailing Address - Country:US
Mailing Address - Phone:386-409-6857
Mailing Address - Fax:386-409-6912
Practice Address - Street 1:125 FLORIDA MEMORIAL PKWY STE 2500A
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-9315
Practice Address - Country:US
Practice Address - Phone:386-409-6857
Practice Address - Fax:386-409-6912
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14648207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine