Provider Demographics
NPI:1841365962
Name:EATROS, TONI L (MS, AP)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:L
Last Name:EATROS
Suffix:
Gender:F
Credentials:MS, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017 PINE RIDGE RD # 347
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3956
Mailing Address - Country:US
Mailing Address - Phone:239-260-4566
Mailing Address - Fax:239-603-6982
Practice Address - Street 1:2355 VANDERBILT BEACH RD
Practice Address - Street 2:SUITE 146
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2766
Practice Address - Country:US
Practice Address - Phone:239-260-4566
Practice Address - Fax:239-603-6982
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2731171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist