Provider Demographics
NPI:1215477161
Name:TOOR, ANIKA
Entity type:Individual
Prefix:
First Name:ANIKA
Middle Name:
Last Name:TOOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 S MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3469
Mailing Address - Country:US
Mailing Address - Phone:727-442-3126
Mailing Address - Fax:727-287-4559
Practice Address - Street 1:1243 S MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3469
Practice Address - Country:US
Practice Address - Phone:727-442-3126
Practice Address - Fax:727-287-4559
Is Sole Proprietor?:No
Enumeration Date:2017-02-26
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT212370207R00000X
FLME146335207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine