Wizzard, Tyrone

Wizzard, Tyrone is an individual health care provider with primary practice located at 1700 S 23Rd St , Fort Pierce FL 34950-4803. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wizzard, Tyrone can be contacted via phone (772) 461-4000.

Contact Information

Primary practice address
1700 S 23Rd St Fort Pierce FL 34950-4803
Phone: (772) 461-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD500002993 District of Columbia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME167243 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0102263 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A189384 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X D0102263 Maryland

Profile Details

NPI number 1942887161
LBN Legal business name Wizzard, Tyrone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2021
Last updated Mar 4th, 2025 - about last year

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.

Request for update

Popular Providers