Provider Demographics
NPI:1649229444
Name:AUREA R TOMESKI MD PA
Entity Type:Organization
Organization Name:AUREA R TOMESKI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUREA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOMESKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-392-6226
Mailing Address - Street 1:899 MEADOWS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2338
Mailing Address - Country:US
Mailing Address - Phone:561-392-6226
Mailing Address - Fax:561-391-7832
Practice Address - Street 1:899 MEADOWS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2338
Practice Address - Country:US
Practice Address - Phone:561-392-6226
Practice Address - Fax:561-391-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 33790207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty