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Individual
TYRONE FARIAS
Active
Individual
TYRONE FARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103022
FL
Other
Enumeration date
03/10/2006
Last updated
09/07/2007
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