Provider Demographics
NPI:1629058854
Name:TOON, PHYLLIS B (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:B
Last Name:TOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:899 MEADOWS RD
Mailing Address - Street 2:302
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2338
Mailing Address - Country:US
Mailing Address - Phone:561-368-0233
Mailing Address - Fax:561-368-7244
Practice Address - Street 1:899 MEADOWS RD
Practice Address - Street 2:302
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2338
Practice Address - Country:US
Practice Address - Phone:561-368-0233
Practice Address - Fax:561-368-7244
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2012-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0043706207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02442OtherBCBS
FL064829900Medicaid
FL160019882OtherRR MEDICARE
FL160019882OtherRR MEDICARE
FL02442OtherBCBS