Tyson, Anne G
Tyson, Anne G is an sole proprietor health care provider with primary practice located at 6700 S Florida Ave Suite 13, Lakeland FL 33813-3327. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tyson, Anne G can be contacted via phone (863) 648-0500.Contact Information
Primary practice address
6700 S Florida Ave Suite 13
Lakeland FL 33813-3327
Phone: (863) 648-0500
Fax: (863) 644-9015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME61703 | Florida |
Profile Details
| NPI number | 1932256146 |
|---|---|
| LBN Legal business name | Tyson, Anne G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932256146 | NPPES |
| Florida | Other | ME61703 | LICENSE # |
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