Individual
TYLER PAUL THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4710 N HABANA AVE STE 107, TAMPA, FL 33614-7143
(813) 910-0030
Mailing address
850 W RIO SALADO PKWY STE 201, TEMPE, AZ 85281-3812
(480) 480-8330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS19573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118103800
—
FL
Enumeration date
03/26/2018
Last updated
08/04/2023
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