Individual
TYRUS COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-1020
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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