Tony John Nelson, PA-C, MPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

540 Medical Oaks Ave Ste 102
Brandon, FL 33511-5995

Phone

(813) 651-1991

Fax

(813) 651-1401

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology and Cosmetic Surq

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1083872535
  NPD
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology and Cosmetic Surgery

  • Dermatology Physician
  • Deland, FL
  • NPI 1659539146
  NPD
• Center for Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Tampa, FL
  • NPI 1558448522
  NPD (past)
• Kaf Path LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1538368493
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1083662159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-651-1991",
            "fax_number": "813-651-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TONY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil H Weisman MD PA
• Breanna Nelson, MS/EDS
• Elena Nelson
• Maranatha Nelson, RCSWI
• Nadira Qamar Nelson
• Vasilios Nenos, DC
• Christopher Nercesian, M.ED., BCBA
• Qushania Nesbitt, ARNP
• Bryan Thomas Netti, PHARM D, LCSW
• Samantha Nettleton, M.S

• Medical Physician Assistant in Brandon, FL
• Providers in Brandon, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.