Individual
PHYLLIS TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7034 MINIPPI DR, ORLANDO, FL 32818-3345
(407) 925-7237
Mailing address
1746 E SILVER STAR RD, 107, OCOEE, FL 34761-7014
(407) 925-7237
(407) 445-4601
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN2529832
FL
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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