Provider Demographics
NPI:1710958541
Name:TOFANI, MARI SILVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARI
Middle Name:SILVIA
Last Name:TOFANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARI
Other - Middle Name:SILVIA
Other - Last Name:TOFANI MONTALVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2995 DREW ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-315-7496
Mailing Address - Fax:
Practice Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:STE 450
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6383
Practice Address - Country:US
Practice Address - Phone:813-875-8453
Practice Address - Fax:813-377-1390
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13745207R00000X
FLME116694208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH45016Medicare UPIN
FLHS002WMedicare PIN
FLP01748496-RAILROADMedicare PIN