Provider Demographics
NPI:1730694290
Name:TONTO, DAVID JONATHAN (ARNP)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JONATHAN
Last Name:TONTO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 LIBERTY LAKE DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-3306
Mailing Address - Country:US
Mailing Address - Phone:904-591-6443
Mailing Address - Fax:
Practice Address - Street 1:11250 BAPTIST HEALTH DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-2978
Practice Address - Country:US
Practice Address - Phone:904-202-6905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3283922363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care