Anderson, Ty Reso
Anderson, Ty Reso is an sole proprietor health care provider with primary practice located at 1111 7Th Ave N Ste 107 , Saint Petersburg FL 33705-1348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Ty Reso can be contacted via phone (727) 894-6703.Contact Information
Primary practice address
1111 7Th Ave N Ste 107
Saint Petersburg FL 33705-1348
Phone: (727) 894-6703
Fax: (727) 894-1430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS15140 | Florida |
Profile Details
| NPI number | 1851335988 |
|---|---|
| LBN Legal business name | Anderson, Ty Reso |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Apr 12th, 2023 - 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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