Active NPI
Luis F Tobon, MD
- Obstetrics & Gynecology Physician
- Kissimmee, FL
National Provider Identifier
1851385967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0098764
- Practice address
- 100 Park Place Blvd
Suite 202
Kissimmee, FL 34741-2372 - Phone
- (407) 846-4882
- Fax
- (407) 846-0416
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0098764 | FL | Primary |
Addresses
Primary practice location
100 Park Place Blvd
Suite 202
Kissimmee, FL 34741-2372
Mailing address
100 Park Place Blvd
Suite 202
Kissimmee, FL 34741-2372
Phone (407) 846-4882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0098764 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1851385967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK PLACE BLVD",
"address_2": "SUITE 202",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412372",
"telephone_number": "407-846-4882",
"fax_number": "407-846-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PARK PLACE BLVD",
"address_2": "SUITE 202",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412372",
"telephone_number": "407-846-4882",
"fax_number": "407-846-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBON",
"first_name": "LUIS",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0098764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.