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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115978600
—
FL
Enumeration date
03/05/2018
Last updated
08/03/2023
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