# TYSON TABORA DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Foot and Ankle Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568964633
- **Authorized official:** TYSON JOSEPH TABORA DPM (OWNER/PHYSICIAN)
- **Authorized official phone:** (561) 809-2343

## Contact information

- **Practice address:** 12989 SOUTHERN BLVD STE 205, LOXAHATCHEE, FL 33470-9291
- **Practice address phone:** (561) 809-2343
- **Practice address fax:** (888) 491-0775
- **Mailing address:** 12989 SOUTHERN BLVD STE 205, LOXAHATCHEE, FL 33470-9291
- **Mailing address phone:** (561) 809-2343
- **Mailing address fax:** (888) 491-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3687 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2018
- **Last updated:** 08/03/2023