Provider Demographics
NPI:1548428238
Name:TOCKMAN, MELVYN S (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MELVYN
Middle Name:S
Last Name:TOCKMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12902 USF MAGNOLIA DR
Mailing Address - Street 2:MRC 3047
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-9416
Mailing Address - Country:US
Mailing Address - Phone:813-745-1714
Mailing Address - Fax:813-745-1720
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:MRC 3047
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-1714
Practice Address - Fax:813-745-1720
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 79053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine