Provider Demographics
NPI:1558358630
Name:TOLNAI, EDIT (MD)
Entity Type:Individual
Prefix:
First Name:EDIT
Middle Name:
Last Name:TOLNAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:431 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3103
Practice Address - Country:US
Practice Address - Phone:561-296-9147
Practice Address - Fax:561-296-9148
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88991207RH0000X, 207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL119926200Medicaid
FL302686OtherWELLCARE MEDICARE LOB
FL10924OtherDIMENSION HEALTH PPO
FLP971440OtherOPTIMUM
FLRV635OtherMEDICARE HF
FL01327OtherBCBS
FLP01582236OtherRR MEDICARE
FL297761OtherAVMED
FLP1035645OtherFREEDOM
FL7553627OtherAETNA
FLU2492YMedicare PIN
FL297761OtherAVMED