Tyson, Farrell C
Tyson, Farrell C is an sole proprietor health care provider with primary practice located at 4120 Del Prado Blvd S , Cape Coral FL 33904-7165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tyson, Farrell C can be contacted via phone (239) 542-2020.Contact Information
Primary practice address
4120 Del Prado Blvd S
Cape Coral FL 33904-7165
Phone: (239) 542-2020
Fax: (239) 541-0175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME81910 | Florida |
Profile Details
| NPI number | 1508857491 |
|---|---|
| LBN Legal business name | Tyson, Farrell C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Aug 28th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508857491 | NPPES |
| Florida | MEDICAID | 264385500 |
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