Wallace-Eley, Tonialatoya
Wallace-Eley, Tonialatoya is an individual health care provider with primary practice located at 6201 N Suncoast Blvd , Crystal River FL 34428-6712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wallace-Eley, Tonialatoya can be contacted via phone (352) 795-6560.Contact Information
Primary practice address
6201 N Suncoast Blvd
Crystal River FL 34428-6712
Phone: (352) 795-6560
Fax: (770) 776-5966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME101987 | Florida |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301089191 | Michigan |
Profile Details
| NPI number | 1093988933 |
|---|---|
| LBN Legal business name | Wallace-Eley, Tonialatoya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2008 |
| Last updated | Jul 29th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093988933 | NPPES |
| Florida | Other | ME101987 | FL MEDICAL LICENSES |
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