Provider Demographics
NPI:1275243651
Name:TORO, JONATHAN M (PA-C)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:M
Last Name:TORO
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4119 AUDUBON PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-0362
Mailing Address - Country:US
Mailing Address - Phone:407-562-6849
Mailing Address - Fax:
Practice Address - Street 1:5717 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-1634
Practice Address - Country:US
Practice Address - Phone:704-563-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2025-09-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant