Tvedten, Ty L

Tvedten, Ty L is an individual health care provider with primary practice located at 12020 Seminole Blvd , Largo FL 33778-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tvedten, Ty L can be contacted via phone (727) 588-9572.

Contact Information

Primary practice address
12020 Seminole Blvd Largo FL 33778-2805
Phone: (727) 588-9572
Fax: (727) 584-3832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS6788 Florida

Profile Details

NPI number 1285626382
LBN Legal business name Tvedten, Ty L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285626382 NPPES
Florida Other 80960 BLUE CROSS

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