Provider Demographics
NPI:1508259730
Name:TON, CUONG (DO)
Entity Type:Individual
Prefix:DR
First Name:CUONG
Middle Name:
Last Name:TON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:PETE
Other - Middle Name:
Other - Last Name:TON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7960 ROUNDELAY DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-6358
Mailing Address - Country:US
Mailing Address - Phone:407-925-7211
Mailing Address - Fax:
Practice Address - Street 1:16614 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-1400
Practice Address - Country:US
Practice Address - Phone:813-384-8521
Practice Address - Fax:813-678-2768
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-12
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS152492084B0040X, 2084P0800X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM