Provider Demographics
NPI:1942936851
Name:TOLEDO, WILLIAMS J
Entity Type:Individual
Prefix:
First Name:WILLIAMS
Middle Name:J
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8690 WEIR DR APT 102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-1549
Mailing Address - Country:US
Mailing Address - Phone:480-436-9073
Mailing Address - Fax:
Practice Address - Street 1:8690 WEIR DR APT 102
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-1549
Practice Address - Country:US
Practice Address - Phone:480-436-9073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA98410225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist