Martin, Tyshawn
Martin, Tyshawn is an sole proprietor health care provider with primary practice located at 5202 Plunkett St , Hollywood FL 33021-8023. She recently has 9 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information, Agencies / Home Health, Agencies / Home Infusion, Agencies / Nursing Care, Other Service Providers / Prevention Professional, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Martin, Tyshawn can be contacted via phone (305) 788-7779.Contact Information
Primary practice address
5202 Plunkett St
Hollywood FL 33021-8023
Phone: (305) 788-7779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | PN514280 | Florida |
| Other Service Providers / Specialist | 174400000X | PN514280 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | PN514280 | Florida |
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information | 246Y00000X | PN514280 | Florida |
| Agencies / Home Health | 251E00000X | PN514280F | Florida |
| Agencies / Home Infusion | 251F00000X | PN514280 | Florida |
| Agencies / Nursing Care | 251J00000X | PN514280 | Florida |
| Other Service Providers / Prevention Professional | 405300000X | PN514280 | Florida |
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN514280 | Florida |
Profile Details
| NPI number | 1255963450 |
|---|---|
| LBN Legal business name | Martin, Tyshawn |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2020 |
| Last updated | Feb 6th, 2020 - about 6 years 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.
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