Tyson Holt Warner PA-C

NPI 1053502054 - Physician Assistant - 363A00000X

NPI Details
NPI 1053502054
Gender Male
Enumeration Date 08/05/2007
Last Updated 03/07/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
18260 N BAY RD
# 512
SUNNY ISLES BEACH FL, 33160-2743, US
Phone (954) 260-7421
Fax
Business Location
18260 N BAY RD
# 512
SUNNY ISLES BEACH FL, 33160-2743, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA 9103507
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According to our database, Mr. Tyson Holt Warner PA-C NPI is 1053502054, taxonomy code is 363A00000X and license number is PA 9103507, license state is located at Florida. Tyson Holt Warner PA-C physically located at 18260 N Bay Rd, Sunny Isles Beach FL, 33160-2743. NPI Number Tyson Holt Warner PA-C has the Individual type.

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1053502054 NPI number is provided on an as is basis without warranty of any kind. 1053502054 is maintained by the National Plan & Provider Enumeration System. The contents of Tyson Holt Warner PA-C are for informational purposes only.