Montgomery, Tywanna Jaye

Montgomery, Tywanna Jaye is an sole proprietor health care provider with primary practice located at 801 W Bay Dr Ste 605 , Largo FL 33770-3268. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Montgomery, Tywanna Jaye can be contacted via phone (727) 489-3305.

Contact Information

Primary practice address
801 W Bay Dr Ste 605 Largo FL 33770-3268
Phone: (727) 489-3305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 11022335 Florida

Profile Details

NPI number 1164147187
LBN Legal business name Montgomery, Tywanna Jaye
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2022
Last updated Oct 12th, 2022 - about 4 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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