Provider Demographics
NPI:1013325547
Name:TOTH, ELAINE E (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:E
Last Name:TOTH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 S HARBOR CITY BLVD STE 232
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-4789
Mailing Address - Country:US
Mailing Address - Phone:321-216-2288
Mailing Address - Fax:321-216-2255
Practice Address - Street 1:1900 S HARBOR CITY BLVD STE 232
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4789
Practice Address - Country:US
Practice Address - Phone:321-216-2288
Practice Address - Fax:321-216-2255
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9476987163W00000X
NY517127163W00000X
NYF338791363LF0000X
FLAPRN9476987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse