Provider Demographics
NPI:1750567996
Name:TONY, MARIE PAULA (ARNP, DNP)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:PAULA
Last Name:TONY
Suffix:
Gender:F
Credentials:ARNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 NE 214TH ST STE 828
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1270
Mailing Address - Country:US
Mailing Address - Phone:954-374-9562
Mailing Address - Fax:954-374-9562
Practice Address - Street 1:2820 NE 214TH ST STE 828
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1270
Practice Address - Country:US
Practice Address - Phone:954-374-9562
Practice Address - Fax:954-374-9562
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2212542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI995ZMedicare PIN