Provider Demographics
NPI:1902248537
Name:TOSH, JAMES EDWIN (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWIN
Last Name:TOSH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 NE 5TH TER
Mailing Address - Street 2:#8
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2000
Mailing Address - Country:US
Mailing Address - Phone:314-520-1362
Mailing Address - Fax:
Practice Address - Street 1:4900 W ATLANTIC BLVD
Practice Address - Street 2:#6
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5324
Practice Address - Country:US
Practice Address - Phone:954-636-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor