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Organization
TYSON TABORA DPM PA
Active
Organization
TYSON TABORA DPM PA
Active
Other names
The Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON JOSEPH TABORA DPM (OWNER/PHYSICIAN)
(561) 809-2343
Entity
Organization
Contact information
Practice address
12989 SOUTHERN BLVD STE 205, LOXAHATCHEE, FL 33470-9291
(561) 809-2343
(888) 491-0775
Mailing address
12989 SOUTHERN BLVD STE 205, LOXAHATCHEE, FL 33470-9291
(561) 809-2343
(888) 491-0775
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3687
FL
Other
Enumeration date
03/05/2018
Last updated
08/03/2023
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