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:
Health care specialties
| Specialty | Code | License # | 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 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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