Tyson, Vincent

Tyson, Vincent is an sole proprietor health care provider with primary practice located at 5333 N Dixie Hwy Ste 110 , Oakland Park FL 33334-3453. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Tyson, Vincent can be contacted via phone (954) 772-8554.

Contact Information

Primary practice address
5333 N Dixie Hwy Ste 110 Oakland Park FL 33334-3453
Phone: (954) 772-8554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SPO13376 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 11005143 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP61299531 Washington

Profile Details

NPI number 1003245457
LBN Legal business name Tyson, Vincent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2013
Last updated Feb 6th, 2024 - about 2 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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