Individual
DR. LYDA D TYMIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PA
Contact information
Practice address
2650 TAMPA RD, PALM HARBOR, FL 34684-3144
(727) 785-4419
(727) 789-3351
Mailing address
2650 TAMPA RD, PALM HARBOR, FL 34684-3144
(727) 785-4419
(727) 789-3351
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME30547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180012673
RAILROAD MEDICARE
FL
01
—
62239
BLUE CROSS
FL
01
—
624122
AETNA
FL
Enumeration date
07/16/2006
Last updated
09/28/2010
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