Most Relevant Information
Provider Data
| NPI Number: | 1003245457 |
| Provider Name: | VINCENT TYSON |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | SPO13376 |
Most Important Dates
| Enumeration Date: | 11/06/2013 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
5333 N DIXIE HWY STE 110
OAKLAND PARK
FL
333343453
Practice Location Phone/Fax
| Phone: | 9547728554 |
| Fax: |
Provider Mailing Location
441 SE 3RD CT
DEERFIELD BEACH
FL
334414727
Provider Mailing Phone/Fax
| Phone: | 5166611805 |
| Fax: |